Varus deformity, not elsewhere classified, right knee
ICD-10 M21.161 is a billable code used to indicate a diagnosis of varus deformity, not elsewhere classified, right knee.
Varus deformity of the knee, commonly referred to as 'bowleggedness', is characterized by an inward angulation of the knee joint, resulting in a misalignment of the lower limb. This condition can be acquired due to various factors, including obesity, osteoarthritis, or previous injuries that affect the knee's structural integrity. Patients with varus deformity may experience pain, instability, and difficulty in ambulation, which can significantly impact their quality of life. The right knee specifically indicates that the deformity is unilateral, which may require targeted interventions. Treatment options often include physical therapy, bracing, or surgical procedures such as osteotomy to realign the knee joint. Accurate coding is essential for proper reimbursement and to ensure that the patient's medical history reflects the specific nature of their condition. Documentation should detail the onset, duration, and any associated symptoms to support the diagnosis and treatment plan.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with knee pain, instability, or difficulty walking due to varus deformity.
Ensure that the documentation clearly states the acquired nature of the deformity and any previous treatments.
Progress notes detailing the patient's functional status, treatment interventions, and response to therapy.
Patients undergoing rehabilitation post-surgery or those receiving conservative management for varus deformity.
Document specific functional limitations and goals to support the need for therapy.
Used for surgical correction of varus deformity.
Pre-operative assessment, surgical notes, and post-operative follow-up documentation.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Varus deformity refers to inward angulation of the knee, while valgus deformity refers to outward angulation. Both can affect knee function and require different treatment approaches.
