Congenital metatarsus adductus, right foot
ICD-10 Q66.221 is a billable code used to indicate a diagnosis of congenital metatarsus adductus, right foot.
Congenital metatarsus adductus is a common foot deformity characterized by the inward turning of the forefoot. This condition is typically identified at birth and can be associated with other congenital malformations. The right foot is specifically affected in this code, indicating that the deformity is unilateral. The etiology of metatarsus adductus is often multifactorial, including genetic predispositions and intrauterine positioning. Clinically, the condition may present with a noticeable curve of the foot, which can be assessed through physical examination. Treatment options vary based on severity and may include observation, stretching exercises, or corrective footwear. In some cases, casting or surgical intervention may be necessary. Accurate coding is essential for appropriate management and follow-up care, especially in pediatric populations where early intervention can significantly improve outcomes.
Pediatric documentation should include detailed physical examination findings, family history, and any associated congenital conditions.
Common scenarios include newborn assessments where metatarsus adductus is identified, and follow-up visits for treatment evaluation.
Consideration of developmental milestones and potential impact on mobility is crucial for accurate coding.
Documentation should include genetic counseling notes, family history of congenital conditions, and any genetic testing results.
Scenarios may involve referrals for genetic evaluation when metatarsus adductus is part of a syndrome or associated with other congenital anomalies.
Understanding the genetic implications and potential syndromic associations is vital for accurate coding.
Used in cases where casting is indicated for metatarsus adductus.
Document the reason for casting, duration, and follow-up plans.
Pediatric specialists should ensure that the casting technique is appropriate for the child's age and condition.
Coding laterality is crucial as it affects treatment decisions and follow-up care. Accurate documentation ensures that the specific foot affected is clearly identified, which is essential for appropriate management.
