Congenital talipes calcaneovarus
ICD-10 Q66.1 is a billable code used to indicate a diagnosis of congenital talipes calcaneovarus.
Congenital talipes calcaneovarus, commonly known as clubfoot, is a congenital deformity characterized by an abnormal positioning of the foot. In this condition, the foot is turned inward and downward, resembling a 'club' shape. This malformation can affect one or both feet and is often associated with other congenital anomalies. The etiology of congenital talipes calcaneovarus is multifactorial, involving genetic predispositions and environmental factors during fetal development. Diagnosis is typically made through physical examination, and imaging studies may be utilized to assess the severity of the deformity. Treatment usually involves non-surgical methods such as the Ponseti method, which includes manipulation and casting, or surgical intervention in more severe cases. Early diagnosis and intervention are crucial to improve functional outcomes and prevent long-term disability. The condition is often seen in pediatric populations and may be associated with other congenital malformations, including those of the urinary system, such as renal agenesis or bladder exstrophy, highlighting the importance of comprehensive evaluation in affected infants.
Detailed records of physical examinations, treatment plans, and follow-up assessments are essential for accurate coding.
Common scenarios include newborn assessments for clubfoot, referrals for orthopedic evaluation, and monitoring of treatment progress.
Coders should be aware of the potential for associated congenital conditions, particularly in infants with multiple anomalies.
Genetic evaluations may be necessary to assess for syndromic associations with congenital talipes calcaneovarus.
Scenarios may include genetic counseling for families with a history of congenital malformations or syndromes associated with clubfoot.
Consideration of chromosomal abnormalities that may present with clubfoot is crucial for comprehensive coding.
Used in conjunction with casting for congenital talipes calcaneovarus.
Document the number of manipulations and the response to treatment.
Orthopedic specialists should provide detailed reports on treatment progress.
The primary treatment for congenital talipes calcaneovarus is the Ponseti method, which involves manipulation and casting to correct the foot position. In some cases, surgical intervention may be necessary if conservative methods are ineffective.
