Unspecified acquired deformity of lower leg
ICD-10 M21.96 is a billable code used to indicate a diagnosis of unspecified acquired deformity of lower leg.
M21.96 refers to an unspecified acquired deformity of the lower leg, which encompasses a range of conditions that result in structural abnormalities due to non-congenital factors. These deformities can arise from various causes, including trauma, infections, inflammatory diseases, or degenerative conditions. Common examples include malalignment due to previous fractures, post-surgical changes, or conditions like osteoarthritis that lead to joint deformities. The lower leg consists of the tibia and fibula, and deformities can manifest as angular deformities, shortening, or rotational abnormalities. The lack of specificity in this code means that it is crucial for healthcare providers to document the underlying cause and nature of the deformity to ensure accurate coding and appropriate treatment planning. Treatment may involve physical therapy, orthotic devices, or surgical interventions aimed at correcting the deformity and restoring function.
Detailed descriptions of the deformity, including measurements and functional impact.
Patients presenting with post-traumatic deformities or degenerative changes in the lower leg.
Orthopedic surgeons must document the specific nature of the deformity and any prior interventions.
Functional assessments and treatment plans that address the deformity's impact on mobility.
Rehabilitation following corrective surgery or management of chronic deformities.
Focus on the functional implications of the deformity and the patient's rehabilitation goals.
Used in cases where surgical correction of a lower leg deformity is necessary.
Pre-operative assessments, surgical notes, and post-operative follow-up documentation.
Orthopedic surgeons must provide detailed operative reports to support the procedure.
Documentation should include a detailed clinical description of the deformity, the underlying cause, and any relevant imaging studies or assessments that support the diagnosis.
