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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.70

Q72.70

Billable

Split foot, unspecified lower limb

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

Code Description

ICD-10 Q72.70 is a billable code used to indicate a diagnosis of split foot, unspecified lower limb.

Key Diagnostic Point:

Split foot, also known as split hand/foot malformation, is a congenital condition characterized by the presence of a cleft or division in the foot, which can affect the bones, soft tissues, and skin. This condition can manifest as a complete or partial split, leading to varying degrees of functional impairment. The split may involve the toes and can result in limb deformities that affect gait and mobility. It is often associated with other congenital malformations, particularly those affecting the musculoskeletal system, such as clubfoot, limb reduction defects, and scoliosis. The etiology of split foot is multifactorial, with genetic and environmental factors playing a role. Diagnosis typically involves clinical examination and imaging studies to assess the extent of the malformation. Treatment may include surgical intervention to improve function and appearance, along with physical therapy to enhance mobility. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the prevalence of congenital conditions.

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 similar conditions (e.g., limb reduction defects)

Audit Risk Factors

  • Inadequate documentation of the condition's severity
  • Failure to report associated congenital anomalies
  • Misclassification of the condition due to lack of specificity
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth and developmental assessments, detailed descriptions of the malformation, and any associated conditions.

Common Clinical Scenarios

Common scenarios include newborn assessments for congenital foot deformities, referrals for orthopedic evaluation, and follow-up care post-surgery.

Billing Considerations

Considerations include the impact of the condition on mobility and development, as well as the need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with the split foot condition.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital malformations and discussions about recurrence risks.

Billing Considerations

Considerations include the potential for chromosomal abnormalities and the need for comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q72.70 When
  • Coders should adhere to official ICD
  • 10 guidelines for congenital conditions, ensuring accurate documentation of the malformation's specifics and any associated conditions
  • It is essential to use the most specific code available to reflect the patient's clinical status

Exclusion Criteria

Do NOT use Q72.70 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28285CPT Code

Surgical correction of split foot

Clinical Scenario

Used when surgical intervention is performed to correct the malformation.

Documentation Requirements

Detailed operative report and pre-operative assessments.

Specialty Considerations

Orthopedic specialists should ensure comprehensive documentation of the procedure and outcomes.

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, improving the ability to track and manage these cases effectively. It emphasizes the importance of detailed documentation to support the chosen codes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these cases effectively. It emphasizes the importance of detailed documentation to support the chosen codes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these cases effectively. It emphasizes the importance of detailed documentation to support the chosen codes.

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 importance of specifying the laterality in split foot coding?

Specifying laterality is crucial for accurate coding and treatment planning. It helps in understanding the extent of the malformation and tailoring interventions accordingly.