Congenital metatarsus primus varus, right foot
ICD-10 Q66.211 is a billable code used to indicate a diagnosis of congenital metatarsus primus varus, right foot.
Congenital metatarsus primus varus, also known as hallux varus, is a deformity characterized by the lateral deviation of the first metatarsal bone in the right foot. This condition typically presents at birth and can lead to functional impairment and cosmetic concerns. The etiology is often multifactorial, involving genetic predispositions and environmental factors during fetal development. Clinically, it may be associated with other congenital foot deformities such as clubfoot or congenital talipes equinovarus. Diagnosis is primarily clinical, supported by physical examination and, if necessary, imaging studies to assess the degree of deformity. Treatment options vary based on severity and may include conservative management with orthotics or surgical intervention to realign the metatarsal and restore normal foot function. Early intervention is crucial to prevent complications such as gait abnormalities and foot pain.
Pediatric documentation should include detailed physical examination findings, family history of congenital conditions, and any associated anomalies.
Common scenarios include newborn assessments where foot deformities are identified, and follow-up visits for monitoring treatment progress.
Consideration should be given to the developmental milestones of the child and the impact of the deformity on mobility.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations.
Genetic counseling sessions for families with a history of congenital foot deformities or syndromes that include foot malformations.
Awareness of genetic syndromes that may present with metatarsus primus varus is essential for accurate coding.
Used in surgical correction of metatarsus primus varus.
Pre-operative assessment and surgical notes detailing the procedure.
Pediatric orthopedic specialists should document the rationale for surgical intervention.
Accurate coding of congenital metatarsus primus varus is crucial for appropriate treatment planning, tracking outcomes, and ensuring proper reimbursement for services rendered. It also aids in understanding the prevalence and impact of congenital foot deformities in pediatric populations.
