Congenital metatarsus adductus
ICD-10 Q66.22 is a billable code used to indicate a diagnosis of congenital metatarsus adductus.
Congenital metatarsus adductus is a common foot deformity characterized by the inward turning of the forefoot, which is often noted at birth. This condition occurs due to abnormal positioning of the foot in utero, leading to a medial deviation of the metatarsal bones. The severity of the condition can vary, with some infants presenting with mild cases that resolve spontaneously, while others may require intervention. Clinical evaluation typically includes a physical examination to assess the range of motion and alignment of the foot. Treatment options may include observation, stretching exercises, or the use of corrective footwear. In more severe cases, casting or surgical intervention may be necessary. It is important to differentiate metatarsus adductus from other foot deformities, such as clubfoot, to ensure appropriate management. Early diagnosis and intervention can lead to favorable outcomes, allowing for normal ambulation as the child grows.
Pediatric documentation should include detailed physical examination findings, treatment plans, and follow-up assessments to monitor the child's development and response to treatment.
Common scenarios include newborn assessments where metatarsus adductus is identified, follow-up visits for monitoring, and referrals for physical therapy or orthopedic evaluation.
Considerations include the age of the child, the degree of deformity, and the presence of any associated conditions that may complicate treatment.
Genetic documentation may involve family history assessments, genetic counseling notes, and any relevant genetic testing results that could indicate syndromic associations.
Scenarios may include evaluations for syndromes associated with foot deformities, such as congenital disorders that may have a genetic basis.
Genetic considerations include the potential for hereditary patterns and the need for comprehensive family history documentation.
Used for treatment of severe metatarsus adductus requiring immobilization.
Documentation must include the reason for casting and follow-up plans.
Orthopedic specialists may be involved in the casting process.
The primary treatment for congenital metatarsus adductus often involves observation, as many cases resolve spontaneously. In more severe cases, physical therapy or corrective footwear may be recommended, and surgical intervention may be necessary if conservative measures fail.
