Congenital metatarsus adductus, unspecified foot
ICD-10 Q66.229 is a billable code used to indicate a diagnosis of congenital metatarsus adductus, unspecified foot.
Congenital metatarsus adductus is a common foot deformity characterized by the inward turning of the forefoot, which can occur in one or both feet. This condition is typically identified at birth and may be associated with other congenital anomalies. The exact etiology is often unknown, but it may be linked to intrauterine positioning or genetic factors. The condition can vary in severity, and while many cases resolve spontaneously, some may require intervention such as physical therapy or corrective footwear. In the context of congenital malformations, it is important to assess for associated conditions, particularly those affecting the urinary system, such as renal agenesis or bladder exstrophy, which may occur in syndromic presentations. Accurate coding is essential for proper management and follow-up care.
Pediatric documentation should include detailed physical examination findings, family history, and any associated congenital conditions.
Common scenarios include newborn assessments where metatarsus adductus is identified, and follow-up visits to monitor development.
Consideration should be given to the age of the patient and the potential for spontaneous resolution.
Genetic documentation should include family history of congenital conditions, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital malformations.
Geneticists should be aware of the potential for chromosomal abnormalities that may present with similar foot deformities.
Used for children requiring intervention for metatarsus adductus.
Document the need for casting and the specific deformity being treated.
Pediatric orthopedic specialists may be involved in the management.
Accurate coding of congenital metatarsus adductus is crucial for appropriate management, follow-up care, and potential surgical interventions. It also aids in identifying associated congenital anomalies that may require additional care.
