Congenital talipes calcaneovarus, right foot
ICD-10 Q66.11 is a billable code used to indicate a diagnosis of congenital talipes calcaneovarus, right foot.
Congenital talipes calcaneovarus, commonly known as clubfoot, is a congenital deformity characterized by an abnormal positioning of the foot. In this condition, the affected foot is turned inward and downward, resembling a 'club' shape. The right foot is specifically affected in this code. The etiology of congenital talipes calcaneovarus is multifactorial, involving genetic predispositions and environmental factors during fetal development. This condition can be associated with other congenital anomalies, particularly in the musculoskeletal system. Diagnosis is typically made through physical examination, and imaging studies may be utilized to assess the severity of the deformity. Treatment often involves non-surgical methods such as the Ponseti method, which includes manipulation and casting, and in some cases, surgical intervention may be necessary to correct the deformity. Early intervention is crucial for optimal outcomes, as untreated clubfoot can lead to functional limitations and pain in later life.
Pediatric documentation should include detailed physical examination findings, treatment plans, and follow-up care notes. Growth and developmental assessments are also important.
Common scenarios include initial diagnosis at birth, follow-up visits for casting, and surgical interventions if conservative treatment fails.
Coders must ensure accurate documentation of the condition's severity and any associated musculoskeletal anomalies.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital talipes calcaneovarus.
Genetic counseling may be provided for families with a history of congenital anomalies, and genetic testing may be indicated if associated syndromes are suspected.
Consideration of genetic syndromes that may present with clubfoot is essential for accurate coding.
Used during the Ponseti method for clubfoot treatment.
Documentation must include the reason for casting and follow-up plans.
Pediatric specialists should document the specifics of the casting technique used.
Coding laterality is crucial as it specifies which foot is affected, impacting treatment plans and outcomes. Accurate coding ensures proper tracking of the condition's prevalence and treatment efficacy.
