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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.72

Q72.72

Billable

Split foot, left lower limb

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

Code Description

ICD-10 Q72.72 is a billable code used to indicate a diagnosis of split foot, left lower limb.

Key Diagnostic Point:

Split foot, also known as split foot malformation, is a congenital condition characterized by the presence of a cleft or division in the foot structure, specifically affecting the left lower limb. This condition can manifest as a complete or partial separation of the foot into two distinct parts, which may involve the bones, soft tissues, and skin. The severity of the malformation can vary significantly, ranging from minor cosmetic issues to significant functional impairments. Split foot may be associated with other congenital anomalies, particularly those affecting the musculoskeletal system, such as clubfoot, limb reduction defects, or scoliosis. Diagnosis typically involves physical examination and imaging studies to assess the extent of the malformation and any associated deformities. Treatment often requires a multidisciplinary approach, including orthopedic intervention, physical therapy, and possibly surgical correction, depending on the severity and functional impact of the condition. Early intervention is crucial to optimize outcomes and improve mobility and quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential association with other congenital malformations
  • Need for detailed documentation of clinical findings
  • Variations in treatment approaches and follow-up care

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to report associated congenital conditions
  • Incorrect assignment of laterality
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include growth and developmental assessments, detailed physical examination findings, and any interventions performed.

Common Clinical Scenarios

Common scenarios include newborn assessments revealing split foot, referrals for orthopedic evaluation, and follow-up visits for monitoring growth and development.

Billing Considerations

Considerations include the impact of the malformation on mobility and development, as well as the psychosocial aspects of living with a visible congenital condition.

Genetics

Documentation Requirements

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

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 or syndromes that may present with split foot, necessitating comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q72.72 When
  • 10 coding guidelines for congenital conditions emphasize the need for specificity in documentation, including laterality, associated conditions, and the impact on function
  • Coders should ensure that all relevant clinical details are captured to support the diagnosis

Exclusion Criteria

Do NOT use Q72.72 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28485CPT Code

Surgical correction of split foot

Clinical Scenario

Used when surgical intervention is performed to correct the malformation.

Documentation Requirements

Operative reports detailing the procedure, indications, and postoperative care.

Specialty Considerations

Orthopedic specialists should ensure accurate coding of the procedure in relation to the diagnosis.

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 split foot. This specificity aids in better tracking of prevalence, treatment outcomes, and resource allocation for affected individuals.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including split foot. This specificity aids in better tracking of prevalence, treatment outcomes, and resource allocation for affected individuals.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, including split foot. This specificity aids in better tracking of prevalence, treatment outcomes, and resource allocation for affected individuals.

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 laterality in coding split foot?

Laterality is crucial in coding split foot as it affects treatment options and outcomes. Accurate documentation of whether the condition affects the left, right, or both limbs is essential for proper coding and billing.