Congenital talipes equinovarus, right foot
ICD-10 Q66.01 is a billable code used to indicate a diagnosis of congenital talipes equinovarus, right foot.
Congenital talipes equinovarus, commonly known as clubfoot, is a congenital deformity characterized by an abnormal positioning of the foot. In this condition, the affected foot is turned inward and downward, resembling the shape of a club. The right foot is specifically affected in this code. The etiology of congenital talipes equinovarus is multifactorial, involving genetic predispositions and environmental factors. It is often associated with other congenital malformations, including those of the urinary system, such as renal agenesis and bladder exstrophy. Diagnosis is typically made at birth through physical examination, and imaging studies may be utilized to assess the severity of the deformity. Treatment usually involves a combination of casting, bracing, and possibly surgical intervention to correct the foot's position and improve function. Early intervention is crucial for optimal outcomes, as untreated clubfoot can lead to long-term disability and difficulties in ambulation.
Detailed documentation of the physical examination findings, treatment plans, and follow-up care is essential. Pediatric coders should ensure that all congenital anomalies are documented.
Common scenarios include newborn assessments, referrals to orthopedic specialists, and follow-up visits for casting or surgical interventions.
Pediatric coders must be aware of the developmental milestones and potential impact of congenital conditions on growth and mobility.
Genetic counseling notes should include family history, potential genetic syndromes associated with talipes, and any chromosomal abnormalities identified.
Scenarios may involve genetic testing for syndromic associations, counseling for recurrence risks, and management of associated conditions.
Genetic coders should consider the implications of genetic findings on treatment and management of congenital conditions.
Used in cases where conservative treatment fails.
Operative reports detailing the procedure and pre-operative assessments.
Orthopedic specialists should ensure comprehensive documentation of the surgical approach and outcomes.
Coding laterality is crucial as it affects treatment plans and outcomes. Accurate documentation ensures that the correct interventions are applied and helps in tracking the prevalence of the condition.
