Congenital talipes calcaneovalgus
ICD-10 Q66.4 is a billable code used to indicate a diagnosis of congenital talipes calcaneovalgus.
Congenital talipes calcaneovalgus, commonly referred to as 'flat foot' or 'calcaneovalgus foot', is a deformity characterized by the foot being positioned in a dorsiflexed and everted position. This condition is typically identified at birth and is often associated with a history of intrauterine positioning. The foot appears to be excessively flexible, and while it may resolve spontaneously in many cases, some infants may require physical therapy or corrective footwear. The condition can be isolated or associated with other congenital anomalies, particularly in the musculoskeletal system. It is crucial for healthcare providers to assess the infant's overall health and any potential associated conditions, such as developmental dysplasia of the hip or other limb deformities. Early intervention can improve outcomes and prevent complications related to mobility and gait. Accurate coding is essential for tracking the prevalence of this condition and ensuring appropriate management strategies are implemented.
Detailed clinical notes on the infant's foot positioning, flexibility, and any associated musculoskeletal anomalies.
Assessment of newborns with foot deformities, follow-up visits for developmental milestones, and referrals to orthopedic specialists.
Consideration of family history of congenital conditions and the need for multidisciplinary care.
Genetic evaluation for syndromic associations, family history of congenital anomalies, and chromosomal studies if indicated.
Genetic counseling for families with a history of congenital malformations and assessment for syndromic presentations.
Awareness of potential chromosomal abnormalities that may present with foot deformities.
Used in cases where intervention is required for severe calcaneovalgus.
Document the need for casting and the specific deformity being treated.
Orthopedic specialists may need to provide detailed notes on the casting procedure.
Management often involves observation, as many cases resolve spontaneously. If the condition is severe or associated with other anomalies, physical therapy or orthotic devices may be recommended.
