Congenital vertical talus deformity, unspecified foot
ICD-10 Q66.80 is a billable code used to indicate a diagnosis of congenital vertical talus deformity, unspecified foot.
Congenital vertical talus deformity, also known as 'rocker-bottom foot,' is a rare foot deformity characterized by a rigid, vertical position of the talus bone in the ankle joint. This condition is often associated with other congenital malformations, particularly in the musculoskeletal system. The foot appears to have a convex shape, resembling a rocker, which can lead to significant functional impairment if not treated early. The deformity can be isolated or part of a syndrome, and it may present with varying degrees of severity. Diagnosis typically involves clinical examination and imaging studies, such as X-rays, to assess the alignment of the bones and joints. Treatment usually requires surgical intervention to correct the deformity and restore normal foot function, often involving tendon lengthening and realignment of the bones. Early intervention is crucial for optimal outcomes, particularly in pediatric patients, as untreated vertical talus can lead to long-term disability and gait abnormalities.
Detailed growth and development assessments, family history of congenital conditions, and specific clinical findings related to the foot deformity.
Evaluation of a newborn with suspected foot deformities, follow-up assessments post-surgery, and management of associated conditions.
Consideration of developmental milestones and the impact of the deformity on mobility and quality of life.
Genetic testing results, family pedigree, and documentation of any syndromic associations.
Genetic counseling for families with a history of congenital malformations, evaluation of syndromic presentations.
Awareness of genetic syndromes that may include vertical talus as part of their phenotype.
Used in surgical correction of congenital vertical talus.
Operative report detailing the procedure and indications.
Orthopedic documentation must include pre-operative assessments and post-operative follow-up.
Accurate coding of congenital vertical talus deformity is crucial for appropriate treatment planning, reimbursement, and tracking of congenital conditions. It ensures that patients receive the necessary interventions and that healthcare providers are compensated for their services.