2025 ICD-10-CM code Q66.0

Congenital talipes equinovarus. A deformed foot in which the foot is plantarflexed, inverted, and adducted.

Use the most specific code available.Avoid using the general code Q66 if a more specific code like Q66.0 is applicable. A sixth digit can be added to specify laterality and positional vs. fixed deformity, if needed (iFrameAI platform).

Medical necessity for the treatment of talipes equinovarus is established by the presence of the deformity and its impact on the child's function and development. Treatment aims to restore normal foot alignment and function, preventing long-term complications.

Diagnosis and management of talipes equinovarus typically involves orthopedists or pediatric orthopedists. They are responsible for assessing the severity, determining the appropriate treatment plan (e.g., Ponseti method, surgery), and monitoring the patient's progress.

IMPORTANT Other related codes include:* Q66.8 (Other congenital deformities of feet, clubfoot NOS) - Use only when a more specific code is not available.* Q66.1 (Talipes calcaneovarus)* Q66.4 (Talipes calcaneovalgus)

In simple words: Clubfoot is a birth defect where the foot is twisted out of shape or position.It can range from mild to severe, and sometimes requires treatment with casts, braces, or surgery.

Talipes equinovarus (TEV) is a congenital foot deformity where the foot is fixed in plantar flexion (equinus), deviated towards the midline (varus), and rotated upwards (supination).The foot points downward and inward, resting on its outer side.Severity ranges from positional (flexible) to rigid (fixed), requiring orthopaedic or surgical intervention.It is the most common congenital foot deformity.

Example 1: A newborn infant is examined and found to have a fixed deformity of the right foot consistent with talipes equinovarus.The foot cannot be manipulated into a normal position. Q66.0 is coded., A 6-month-old infant with previously diagnosed talipes equinovarus is seen for a follow-up cast change.The condition is responding well to the Ponseti method of casting.Q66.0 is coded., A 2-year-old child who was treated for talipes equinovarus as an infant presents with recurrent deformity. Surgical correction is planned. Q66.0 is coded.

Documentation should include a detailed description of the deformity, including the degree of plantarflexion, inversion, and adduction. Whether the deformity is positional or rigid should be noted. Any associated conditions or syndromes should also be documented. Imaging studies, such as X-rays, may be included in the documentation.

** For more specific coding related to the affected foot (right, left, or bilateral) it's recommended to refer to iFrameAI platform and look for sixth digit subclassification.

  • Specialties:Orthopedic Surgery, Pediatric Orthopedics, Pediatrics
  • Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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