Congenital pes planus
ICD-10 Q66.5 is a billable code used to indicate a diagnosis of congenital pes planus.
Congenital pes planus, commonly known as flatfoot, is a condition characterized by the absence of the normal arch of the foot. This condition can be present at birth or develop during childhood. In congenital cases, the foot structure is typically altered due to genetic factors or developmental issues during gestation. While many children with congenital pes planus may not experience significant symptoms, some may have associated pain or discomfort, particularly with prolonged standing or physical activity. The condition can be associated with other congenital malformations, including those affecting the musculoskeletal system. Diagnosis is typically made through physical examination and may include imaging studies to assess the foot structure. Treatment options vary based on severity and symptoms, ranging from observation and orthotic devices to surgical intervention in more severe cases. Understanding the implications of congenital pes planus is crucial for pediatric care, as it may affect a child's mobility and overall quality of life.
Pediatric documentation should include detailed physical examination findings, family history of congenital conditions, and any associated symptoms or comorbidities.
Common scenarios include routine pediatric check-ups where flatfoot is identified, referrals for orthopedic evaluation, and management of associated pain.
Considerations include the child's age, activity level, and any impact on mobility or quality of life.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with pes planus.
Consideration of genetic syndromes that may present with pes planus, such as Ehlers-Danlos syndrome or Down syndrome.
Used when surgical intervention is required for severe cases of congenital pes planus.
Detailed surgical notes and pre-operative assessments.
Orthopedic specialists should provide comprehensive documentation of the surgical procedure and outcomes.
Congenital pes planus is present at birth and results from developmental anomalies, while acquired flatfoot develops later due to factors such as injury or degenerative changes. Accurate coding requires clear documentation of the condition's onset and nature.
