Congenital vertical talus deformity, left foot
ICD-10 Q66.82 is a billable code used to indicate a diagnosis of congenital vertical talus deformity, left foot.
Congenital vertical talus deformity, also known as 'rocker-bottom foot,' is a rare foot deformity characterized by a rigid, vertical position of the talus bone in the ankle joint. This condition results in a convex shape of the foot, leading to difficulties in ambulation and potential complications if not treated early. The left foot is specifically affected in this code, indicating unilateral involvement. The deformity is often associated with other congenital anomalies, particularly in syndromic conditions such as trisomy 18 or other chromosomal abnormalities. Diagnosis typically involves clinical examination and imaging studies to assess the degree of deformity and associated structures. Treatment options may include conservative management with orthotics or surgical intervention to correct the deformity and improve function. Early intervention is crucial to prevent long-term disability and to promote normal development in affected children.
Detailed clinical notes documenting the physical examination findings, treatment plans, and follow-up care are essential. Pediatricians should also note any developmental milestones affected by the condition.
A pediatric patient presenting with difficulty walking and a visibly deformed left foot, requiring assessment and potential referral to orthopedic specialists.
Pediatric coders must ensure that all relevant congenital conditions are documented to avoid undercoding or misclassification.
Genetic testing results, family history of congenital conditions, and any syndromic associations must be documented thoroughly.
A child with congenital vertical talus deformity undergoing genetic counseling due to a family history of chromosomal abnormalities.
Genetic coders should be aware of the implications of chromosomal abnormalities that may co-occur with congenital malformations.
Used in conjunction with congenital vertical talus deformity treatment when associated with clubfoot.
Surgical notes detailing the procedure and any associated conditions.
Orthopedic specialists must ensure accurate coding of both the deformity and the surgical intervention.
Accurate coding of congenital vertical talus deformity is crucial for appropriate treatment planning, tracking outcomes, and ensuring proper reimbursement. It also helps in identifying associated congenital anomalies that may require multidisciplinary care.
