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ICD-10 Guide
ICD-10 CodesQ66.72

Q66.72

Billable

Congenital pes cavus, left foot

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

Code Description

ICD-10 Q66.72 is a billable code used to indicate a diagnosis of congenital pes cavus, left foot.

Key Diagnostic Point:

Congenital pes cavus, also known as high-arched foot, is a deformity characterized by an excessive arch in the foot, which can lead to various complications including pain, instability, and difficulty in walking. This condition can be isolated or associated with other congenital malformations. In the case of congenital pes cavus of the left foot, the arch is primarily elevated on the left side, which may result in an imbalance in gait and increased pressure on the metatarsal heads. The etiology of congenital pes cavus can be multifactorial, including genetic predispositions and environmental influences. It is essential to assess the condition in conjunction with other potential congenital anomalies, particularly in pediatric patients, as early intervention can significantly improve functional outcomes. Treatment options may include orthotic devices, physical therapy, and in some cases, surgical intervention to correct the deformity and restore normal foot function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from acquired pes cavus
  • Potential association with other congenital anomalies
  • Variability in clinical presentation
  • Need for multidisciplinary management

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to report associated congenital anomalies
  • Misclassification of congenital vs. acquired conditions
  • Lack of detailed treatment plans

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed history of the child's development, physical examination findings, and any associated conditions.

Common Clinical Scenarios

Assessment of a child presenting with foot deformities, gait abnormalities, or pain.

Billing Considerations

Consideration of growth patterns and developmental milestones in the context of congenital conditions.

Genetics

Documentation Requirements

Family history of congenital conditions, genetic testing results, and counseling notes.

Common Clinical Scenarios

Evaluation of a child with pes cavus and a family history of genetic disorders.

Billing Considerations

Understanding the genetic basis of congenital malformations and their implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q66.72 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's nature, associated anomalies, and any interventions performed

Exclusion Criteria

Do NOT use Q66.72 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28285CPT Code

Correction of pes cavus

Clinical Scenario

Surgical intervention for severe congenital pes cavus.

Documentation Requirements

Pre-operative assessment, surgical notes, and post-operative follow-up.

Specialty Considerations

Pediatric orthopedic considerations for surgical candidates.

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 for congenital malformations.

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 for congenital malformations.

Reimbursement & Billing Impact

reimbursement processes for congenital malformations.

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 pes cavus accurately?

Accurate coding of congenital pes cavus is crucial for appropriate treatment planning, reimbursement, and understanding the prevalence of congenital foot deformities. It also aids in research and tracking outcomes in pediatric populations.