Varus deformity, not elsewhere classified, left ankle
ICD-10 M21.172 is a billable code used to indicate a diagnosis of varus deformity, not elsewhere classified, left ankle.
Varus deformity of the left ankle is characterized by an inward angulation of the ankle joint, resulting in a misalignment that can lead to abnormal weight distribution and increased stress on the medial structures of the ankle. This condition can be acquired due to various factors such as trauma, degenerative joint disease, or post-surgical changes. Patients may present with symptoms including pain, instability, and difficulty in ambulation. The deformity can also lead to secondary complications such as osteoarthritis or tendonitis if left untreated. Treatment options may include physical therapy, orthotic devices, or surgical interventions aimed at realigning the ankle joint and restoring normal function. Corrective procedures may involve osteotomy or arthrodesis, depending on the severity of the deformity and the patient's overall health status. Accurate coding of this condition is essential for appropriate management and reimbursement.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Patients presenting with chronic ankle pain, post-traumatic deformities, or degenerative changes.
Ensure that all relevant imaging studies and consultations are documented to support the diagnosis.
Progress notes detailing functional assessments, treatment interventions, and patient responses.
Rehabilitation following surgical correction of varus deformity or conservative management of mild cases.
Documenting the patient's functional limitations and progress is crucial for coding therapy services.
Used in cases where surgical correction of the varus deformity is indicated.
Operative reports detailing the procedure and indication for surgery.
Orthopedic surgeons must provide comprehensive documentation to support the necessity of the procedure.
Documenting laterality is crucial for accurate coding and treatment planning, as it affects the management and surgical approach for the patient.