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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.73

Q72.73

Billable

Split foot, bilateral

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

Code Description

ICD-10 Q72.73 is a billable code used to indicate a diagnosis of split foot, bilateral.

Key Diagnostic Point:

Split foot, also known as bilateral split foot malformation, is a congenital condition characterized by a cleft or division in the foot structure, leading to an abnormal appearance and function of the foot. 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 among affected individuals, ranging from minor cosmetic issues to severe functional impairments that affect mobility and weight-bearing capabilities. The condition is often associated with other congenital anomalies, particularly those affecting the musculoskeletal system, such as clubfoot, limb reduction defects, and scoliosis. Diagnosis typically involves a thorough clinical examination and imaging studies to assess the extent of the malformation. Management may include surgical intervention, orthotic support, and physical therapy to improve function and mobility. Early intervention is crucial for optimizing outcomes and enhancing the 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 anomalies
  • Need for detailed documentation of clinical findings
  • Variations in treatment approaches and follow-up care

Audit Risk Factors

  • Inadequate documentation of the clinical findings
  • Failure to report associated congenital anomalies
  • Incorrect coding of the severity of the malformation
  • Lack of clarity in treatment plans and follow-up

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, including prenatal and perinatal factors, family history of congenital conditions, and developmental milestones.

Common Clinical Scenarios

Assessment of a newborn with split foot during routine pediatric examination, referral for orthopedic evaluation, and follow-up for developmental progress.

Billing Considerations

Consideration of growth patterns and potential need for ongoing orthopedic interventions as the child develops.

Genetics

Documentation Requirements

Genetic testing results, family pedigree analysis, and documentation of any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations, evaluation for syndromic conditions associated with split foot.

Billing Considerations

Awareness of chromosomal abnormalities that may co-occur with split foot, necessitating comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q72.73 When
  • Follow the official ICD
  • CM coding guidelines for congenital malformations, ensuring accurate documentation of the condition's nature, severity, and any associated anomalies
  • Use additional codes as necessary to capture related conditions

Exclusion Criteria

Do NOT use Q72.73 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28485CPT Code

Surgical repair of congenital foot deformity

Clinical Scenario

Used in cases where surgical intervention is required to correct split foot malformation.

Documentation Requirements

Detailed operative report and pre-operative assessment.

Specialty Considerations

Orthopedic specialists should provide comprehensive documentation of the surgical procedure and post-operative care.

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

  • •
    CDC - Birth Defects

Coding & Billing References

  • •
    CDC - Birth Defects

Frequently Asked Questions

What is the significance of coding split foot as bilateral?

Coding split foot as bilateral is crucial for accurately reflecting the severity of the condition and the potential impact on treatment and outcomes. It ensures that healthcare providers can plan appropriate interventions and monitor the patient's progress effectively.