2025 ICD-10-CM code Q66.2

Congenital metatarsus (primus) varus.

Follow the official ICD-10-CM coding guidelines for selecting the most appropriate code and ensuring proper documentation.Consider any laterality specifications.

Medical necessity for treatment (e.g., corrective shoes, casting, surgery) is typically established based on the degree of deformity, the impact on the child's ambulation and gait, and the potential for long-term functional impairment.Documentation should clearly support the need for intervention.

Orthopedic surgeon or pediatric orthopedic surgeon typically manages this condition.Depending on severity, other specialists such as podiatrists may also be involved.

IMPORTANT No alternate codes specifically noted in the provided data, but cross-referencing with similar congenital foot deformities within the Q65-Q79 range might be helpful.Always confirm with the most current coding guidelines.

In simple words: This code describes a birth defect where the big toe and the bone connecting it to the foot (the first metatarsal) are turned inward, making the foot point inward.

Q66.2, Congenital metatarsus (primus) varus, refers to a congenital deformity of the foot characterized by an inward deviation (varus) of the first metatarsal bone.This results in an angulation of the first metatarsal bone towards the midline, causing the foot to turn inwards. This condition is present at birth.

Example 1: A newborn infant presents with a visibly inward-turned big toe and first metatarsal.Physical examination confirms the diagnosis of congenital metatarsus primus varus., A six-month-old child is brought to the clinic due to difficulty walking. Examination reveals metatarsus primus varus, necessitating specialized footwear and possible physical therapy., A child with moderate metatarsus primus varus has failed to respond to conservative treatment (shoes, therapy). Surgical intervention is planned to correct the deformity.

Detailed description of the physical examination findings, including measurements of the angle of deformity.Imaging studies (X-rays) may be required to document the severity of the condition, especially for surgical cases.Progress notes reflecting any conservative treatment and/or surgical procedures will be necessary.

** This code specifically addresses metatarsus (primus) varus.Other congenital foot deformities exist and require separate coding.

  • Payment Status: Active
  • Specialties:Orthopedics, Pediatric Orthopedics, Podiatry
  • Place of Service:Office, Outpatient Hospital, Inpatient Hospital
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