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v1.0.0
ICD-10 Guide
ICD-10 CodesQ66.7

Q66.7

Billable

Congenital pes cavus

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q66.7 is a billable code used to indicate a diagnosis of congenital pes cavus.

Key Diagnostic Point:

Congenital pes cavus is a foot deformity characterized by an excessive arch of the foot, which can lead to various complications such as pain, instability, and difficulty in walking. This condition can be isolated or associated with other congenital malformations, including those affecting the urinary system. In pediatric patients, it is essential to assess the overall development and any associated anomalies, particularly in the context of syndromic presentations. The condition may arise from genetic factors, neuromuscular disorders, or environmental influences during fetal development. Diagnosis typically involves clinical examination and imaging studies to evaluate the foot structure and function. Treatment options may include orthotic devices, physical therapy, or surgical intervention, depending on the severity of the deformity and its impact on the patient's mobility and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential association with other congenital anomalies
  • Need for detailed clinical documentation to support coding
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of associated conditions
  • Failure to specify the severity of the deformity
  • Misclassification of congenital versus acquired conditions
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and any associated congenital anomalies. Detailed descriptions of the physical examination findings and treatment plans are essential.

Common Clinical Scenarios

Common scenarios include evaluation of a child with pes cavus presenting with gait abnormalities or pain, and assessment of associated conditions such as clubfoot or other foot deformities.

Billing Considerations

Pediatric coders must be aware of the developmental implications of congenital pes cavus and its potential impact on mobility and quality of life.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations. It is crucial to document any chromosomal abnormalities that may be linked to the condition.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with pes cavus.

Billing Considerations

Genetic coders should consider the implications of genetic syndromes that may present with pes cavus and ensure accurate coding of any identified chromosomal abnormalities.

Coding Guidelines

Inclusion Criteria

Use Q66.7 When
  • Official coding guidelines for congenital conditions emphasize the importance of specificity in documentation, including the identification of associated anomalies and the need for multidisciplinary care

Exclusion Criteria

Do NOT use Q66.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28285CPT Code

Correction of pes cavus

Clinical Scenario

Used in surgical correction of congenital pes cavus.

Documentation Requirements

Detailed operative report and pre-operative assessment.

Specialty Considerations

Pediatric orthopedic specialists should ensure accurate coding reflecting the complexity of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including congenital pes cavus, enabling better tracking of associated anomalies and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including congenital pes cavus, enabling better tracking of associated anomalies and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including congenital pes cavus, enabling better tracking of associated anomalies and treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding congenital pes cavus accurately?

Accurate coding of congenital pes cavus is crucial for appropriate treatment planning, tracking of associated conditions, and ensuring proper reimbursement for services. It also aids in research and understanding the prevalence and outcomes of congenital foot deformities.