Congenital metatarsus primus varus
ICD-10 Q66.21 is a billable code used to indicate a diagnosis of congenital metatarsus primus varus.
Congenital metatarsus primus varus is a foot deformity characterized by an inward deviation of the first metatarsal bone, leading to a prominent first toe. This condition is often present at birth and can be associated with other congenital malformations. The etiology is not fully understood but may involve genetic factors and environmental influences during fetal development. Clinically, it presents as a forefoot adduction and can lead to functional issues if not addressed. Treatment options may include conservative management with orthotics or surgical intervention in more severe cases. Accurate diagnosis and coding are essential, especially in pediatric populations, as this condition can impact mobility and quality of life. The condition is typically diagnosed through physical examination and may be confirmed with imaging studies if necessary. Early intervention is crucial for optimal outcomes.
Documentation must include detailed physical examination findings, family history, and any associated congenital anomalies.
Common scenarios include newborn assessments revealing foot deformities and referrals for orthopedic evaluation.
Consideration of developmental milestones and potential impact on mobility is crucial for accurate coding.
Genetic counseling notes should include family history, potential syndromic associations, and genetic testing results if applicable.
Scenarios may involve referrals for genetic evaluation in cases of metatarsus primus varus associated with syndromes.
Awareness of genetic syndromes that may present with foot deformities is essential for accurate coding.
Used in cases where surgical intervention is required for correction of metatarsus primus varus.
Surgical notes must detail the procedure, indications, and any complications.
Orthopedic specialists should provide comprehensive documentation to support the procedure.
Accurate coding of congenital metatarsus primus varus is essential for appropriate treatment planning, reimbursement, and tracking of congenital conditions. It helps in understanding the prevalence and outcomes of this condition in pediatric populations.
