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ICD-10 Guide
ICD-10 CodesM21.17

M21.17

Billable

Varus deformity, not elsewhere classified, ankle

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M21.17 is a billable code used to indicate a diagnosis of varus deformity, not elsewhere classified, ankle.

Key Diagnostic Point:

Varus deformity of the ankle is characterized by an inward angulation of the distal segment of the limb, resulting in a misalignment that can lead to various complications. This condition can be acquired due to factors such as trauma, degenerative diseases, or post-surgical changes. Patients may present with symptoms including pain, instability, and difficulty in ambulation. The deformity can affect the biomechanics of the ankle, leading to increased stress on the medial structures and potential development of osteoarthritis. Varus deformity can also be associated with other foot abnormalities, such as hallux valgus, where the big toe deviates laterally. Corrective procedures may include osteotomy, arthrodesis, or the use of orthotic devices to realign the foot and ankle. Accurate diagnosis and coding are essential for appropriate management and reimbursement, as the condition may require multidisciplinary intervention involving orthopedic surgeons, physical therapists, and podiatrists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (trauma, degenerative changes)
  • Overlap with other deformities (e.g., hallux valgus)
  • Need for detailed clinical documentation to support diagnosis
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of the deformity's cause
  • Failure to document associated conditions
  • Incorrect linkage of procedures to the diagnosis
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, pre-operative assessments, and post-operative follow-ups are essential.

Common Clinical Scenarios

Patients presenting with chronic ankle pain, instability, or post-traumatic deformities.

Billing Considerations

Documentation should clearly outline the deformity's impact on function and any associated conditions.

Podiatry

Documentation Requirements

Foot and ankle assessments, including gait analysis and imaging studies.

Common Clinical Scenarios

Patients with foot pain related to varus deformity or associated conditions like hallux valgus.

Billing Considerations

Focus on conservative management options and their effectiveness in alleviating symptoms.

Coding Guidelines

Inclusion Criteria

Use M21.17 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant history of trauma or underlying conditions that may have contributed to the deformity

Exclusion Criteria

Do NOT use M21.17 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28300CPT Code

Osteotomy, metatarsal, for hallux valgus

Clinical Scenario

Used in conjunction with M21.17 when correcting associated deformities.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic surgeons should document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like varus deformity, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like varus deformity, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 primary cause of varus deformity?

Varus deformity can be caused by various factors, including trauma, degenerative joint disease, or post-surgical changes. It is essential to identify the underlying cause for appropriate management.