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ICD-10 Guide
ICD-10 CodesQ66.32

Q66.32

Billable

Other congenital varus deformities of feet, left foot

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q66.32 is a billable code used to indicate a diagnosis of other congenital varus deformities of feet, left foot.

Key Diagnostic Point:

Congenital varus deformities of the feet, specifically affecting the left foot, are characterized by an inward turning of the foot, which can lead to functional impairment and difficulties in ambulation. These deformities can arise from a variety of factors, including genetic predispositions, environmental influences, or developmental anomalies during gestation. In pediatric patients, early diagnosis and intervention are crucial to prevent long-term complications such as joint deformities, muscle imbalances, and gait abnormalities. Treatment options may include orthotic devices, physical therapy, or surgical correction, depending on the severity of the deformity. It is essential for healthcare providers to document the specific nature of the deformity, associated conditions, and any interventions undertaken to ensure accurate coding and optimal patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the deformity
  • Need for detailed documentation of associated conditions
  • Potential for multiple interventions and follow-up care
  • Differentiation from other foot deformities

Audit Risk Factors

  • Inadequate documentation of the deformity's severity
  • Failure to document associated congenital conditions
  • Incorrect coding of the affected foot
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and specific details about the deformity and its impact on mobility.

Common Clinical Scenarios

Common scenarios include a newborn presenting with clubfoot or a toddler with delayed walking due to foot deformities.

Billing Considerations

Consideration must be given to the age of the patient and the potential for spontaneous correction versus the need for intervention.

Genetics

Documentation Requirements

Genetic documentation should include family history, any known syndromes associated with foot deformities, and results from genetic testing if applicable.

Common Clinical Scenarios

Scenarios may involve a child with a known genetic syndrome presenting with foot deformities or a family history of congenital malformations.

Billing Considerations

Genetic counseling may be necessary for families with a history of congenital conditions, and documentation should reflect any genetic assessments performed.

Coding Guidelines

Inclusion Criteria

Use Q66.32 When
  • According to ICD
  • 10 coding guidelines, congenital conditions must be documented with specificity regarding the affected body part and any associated anomalies
  • Coders should ensure that the diagnosis aligns with clinical findings and treatment plans

Exclusion Criteria

Do NOT use Q66.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28485CPT Code

Surgical correction of congenital foot deformity

Clinical Scenario

Used in cases where conservative management fails and surgical intervention is required.

Documentation Requirements

Detailed operative notes and pre-operative assessments.

Specialty Considerations

Orthopedic specialists should provide comprehensive documentation of the surgical procedure and post-operative care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding congenital varus deformities accurately?

Accurate coding of congenital varus deformities is crucial for appropriate treatment planning, tracking of congenital anomalies, and ensuring proper reimbursement for services. It also aids in research and understanding the prevalence and outcomes of these conditions.