Congenital talipes calcaneovalgus, left foot
ICD-10 Q66.42 is a billable code used to indicate a diagnosis of congenital talipes calcaneovalgus, left foot.
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 present at birth and can affect one or both feet. The left foot is specifically noted in this code. The etiology of this condition is often multifactorial, including genetic predispositions and environmental factors during pregnancy. Clinically, it may present with a noticeable deformity, but many cases resolve spontaneously without intervention. However, some infants may require physical therapy or orthotic devices to correct the foot position. Early diagnosis and management are crucial to prevent complications such as difficulty in walking or further musculoskeletal issues. The condition is often associated with other congenital malformations, particularly those affecting the musculoskeletal system, and may require a multidisciplinary approach for optimal management.
Detailed clinical notes on the infant's physical examination, including foot positioning and any associated musculoskeletal issues.
Infants presenting with foot deformities during routine check-ups or referrals from obstetricians.
Consideration of family history of congenital conditions and the need for multidisciplinary evaluation.
Genetic counseling notes if there is a suspected hereditary component, including family history and any genetic testing results.
Cases where congenital talipes calcaneovalgus is part of a syndrome or associated with chromosomal abnormalities.
Awareness of syndromic associations and the need for genetic evaluation in complex cases.
Used in cases where casting is indicated for correction of foot position.
Document the reason for casting and the condition being treated.
Pediatric specialists should ensure proper casting techniques are followed.
Coding laterality is crucial as it specifies which foot is affected, impacting treatment decisions and outcomes. Accurate documentation ensures appropriate care and billing.
