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v1.0.0
ICD-10 Guide
ICD-10 CodesQ66.92

Q66.92

Billable

Congenital deformity of feet, unspecified, left foot

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

Code Description

ICD-10 Q66.92 is a billable code used to indicate a diagnosis of congenital deformity of feet, unspecified, left foot.

Key Diagnostic Point:

Congenital deformities of the feet can manifest in various forms, including clubfoot, flatfoot, and other structural anomalies. The unspecified nature of this code indicates that the specific type of deformity has not been clearly defined. Congenital foot deformities may arise from genetic factors, environmental influences, or a combination of both. In pediatric patients, these deformities can lead to functional limitations, gait abnormalities, and psychosocial impacts. Early diagnosis and intervention are crucial for optimal outcomes, often involving orthopedic assessments, physical therapy, and possibly surgical interventions. The left foot designation specifies that the deformity is localized to that side, which is important for treatment planning and documentation. Understanding the underlying causes, including potential chromosomal abnormalities, is essential for comprehensive care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and classification of foot deformities
  • Need for precise documentation of the specific type of deformity
  • Potential for associated congenital conditions requiring additional coding
  • Variations in treatment protocols based on the specific diagnosis

Audit Risk Factors

  • Inadequate documentation of the specific type of deformity
  • Failure to link the deformity to associated congenital conditions
  • Misclassification of the deformity type leading to incorrect coding
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, physical examination findings, and treatment plans are essential for accurate coding.

Common Clinical Scenarios

Common scenarios include referrals for orthopedic evaluation of foot deformities in newborns or children with developmental delays.

Billing Considerations

Consideration of growth and development milestones is crucial in pediatric patients with congenital deformities.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any chromosomal abnormalities must be documented.

Common Clinical Scenarios

Scenarios may include genetic counseling for families with a history of congenital foot deformities or associated syndromes.

Billing Considerations

Understanding the genetic basis of congenital conditions can influence treatment and management strategies.

Coding Guidelines

Inclusion Criteria

Use Q66.92 When
  • Coders should adhere to official ICD
  • 10 guidelines, ensuring that all congenital conditions are documented accurately and linked to appropriate treatment plans
  • Specific attention should be paid to the guidelines for congenital malformations and their associated codes

Exclusion Criteria

Do NOT use Q66.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

28485CPT Code

Surgical correction of clubfoot

Clinical Scenario

Used in cases where surgical intervention is required for congenital foot deformities.

Documentation Requirements

Operative reports detailing the procedure and pre-operative assessments.

Specialty Considerations

Orthopedic specialists must provide comprehensive documentation to support the surgical intervention.

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. Coders must be familiar with the nuances of the new coding structure to ensure compliance and optimal billing.

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. Coders must be familiar with the nuances of the new coding structure to ensure compliance and optimal billing.

Reimbursement & Billing Impact

reimbursement processes. Coders must be familiar with the nuances of the new coding structure to ensure compliance and optimal billing.

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 should I document for congenital foot deformities?

Document the specific type of deformity, any associated conditions, treatment plans, and follow-up care. Ensure that all relevant clinical information is included to support accurate coding.