Congenital talipes calcaneovalgus, unspecified foot
ICD-10 Q66.40 is a billable code used to indicate a diagnosis of congenital talipes calcaneovalgus, unspecified foot.
Congenital talipes calcaneovalgus, commonly referred to as 'flat foot' or 'calcaneovalgus foot', is a deformity characterized by an abnormal position of the foot at birth. The foot is typically positioned with the heel elevated and the forefoot turned outward. This condition is often seen in newborns and can be associated with other congenital malformations, particularly those affecting the musculoskeletal system. The etiology of congenital talipes calcaneovalgus is multifactorial, including genetic predispositions and intrauterine positioning. While many cases resolve spontaneously as the child grows, some may require intervention, such as physical therapy or orthotic devices, to correct the foot position. It is essential for healthcare providers to monitor the condition closely, as associated complications can arise if left untreated. Accurate coding is crucial for tracking the prevalence of this condition and ensuring appropriate management strategies are implemented.
Pediatric documentation must include detailed descriptions of the foot's position, any associated conditions, and treatment plans.
Common scenarios include newborn assessments where talipes calcaneovalgus is identified during routine examinations or referrals for physical therapy.
Considerations include the age of the child, the presence of other congenital anomalies, and the need for multidisciplinary care.
Genetic documentation should include family history, potential syndromic associations, and any genetic testing results.
Scenarios may involve genetic counseling for families with a history of congenital foot deformities or syndromes associated with talipes calcaneovalgus.
Considerations include the potential for chromosomal abnormalities that may present with musculoskeletal anomalies.
Used for physical therapy interventions for children with congenital talipes calcaneovalgus.
Documentation must include the specific exercises performed and the child's response to therapy.
Pediatric physical therapists should document progress and any modifications to the treatment plan.
Congenital talipes calcaneovalgus is characterized by an elevated heel and outward turning of the forefoot, while congenital talipes equinovarus involves a downward and inward position of the foot. Accurate coding requires understanding these distinctions.
