Congenital metatarsus (primus) varus
ICD-10 Q66.2 is a billable code used to indicate a diagnosis of congenital metatarsus (primus) varus.
Congenital metatarsus varus, also known as metatarsus primus varus, is a foot deformity characterized by an inward deviation of the first metatarsal bone. This condition is often present at birth and can lead to an abnormal foot position, which may affect walking and overall mobility. The deformity is typically identified during a physical examination, where the foot appears to have a curved shape, with the big toe angled towards the second toe. While the exact cause of metatarsus varus is not fully understood, it is believed to be related to intrauterine positioning or genetic factors. Treatment options may include observation, corrective shoes, or orthotic devices, and in some cases, surgical intervention may be necessary to correct the alignment. Early diagnosis and management are crucial to prevent complications such as pain or difficulty in ambulation as the child grows. This condition is often associated with other congenital malformations, particularly those affecting the musculoskeletal system.
Pediatric documentation should include detailed physical examination findings, family history of congenital conditions, and any associated developmental concerns.
Common scenarios include newborn assessments where foot deformities are identified, and referrals to orthopedic specialists for management.
Consideration should be given to the child's overall development and any potential impact on mobility and quality of life.
Genetic documentation should include family history, potential syndromic associations, and any genetic testing results that may inform the diagnosis.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with foot deformities.
Genetic factors may play a role in the occurrence of metatarsus varus, necessitating a thorough evaluation of family history and potential genetic syndromes.
Used when surgical intervention is required for severe cases of metatarsus varus.
Surgical reports must detail the procedure, indications, and postoperative care.
Orthopedic specialists should provide comprehensive documentation to support the need for surgery.
Accurate coding of congenital metatarsus varus is essential for appropriate reimbursement, tracking of congenital conditions, and ensuring that patients receive the necessary care and follow-up. It also aids in research and understanding of congenital malformations.
