2025 ICD-10-CM code Q66.4
(Active) Effective Date: N/A Revision Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Congenital deformities of feet Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Congenital talipes calcaneovalgus.
Modifiers might be applied depending on the procedure and the setting of care (e.g.,anesthesia, surgical assistant).Consult the specific payer's guidelines for modifier use.
Medical necessity is established by the presence of a significant congenital foot deformity that impairs ambulation or causes pain, functional limitation, and/or cosmetic concerns. Treatment is necessary to improve function, prevent long-term disability, and enhance quality of life.
Orthopedic surgeon, pediatrician, or other relevant specialist depending on the complexity and age of the patient. Responsibilities include diagnosis, treatment planning (which may involve casting, bracing, or surgery), and post-operative care.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
In simple words: This code describes a birth defect where the baby's foot is twisted out of shape. The heel points outward and the front of the foot points upwards.
Congenital talipes calcaneovalgus is a birth defect characterized by a deformity of the foot where the heel is turned outward (valgus) and the front of the foot is turned upward (dorsiflexion).This condition affects the position of the foot and ankle at birth, and the severity can range from mild to severe.
Example 1: A newborn infant presents with a visibly deformed foot exhibiting talipes calcaneovalgus.The condition is diagnosed clinically upon examination. Treatment may involve serial casting to gradually correct the deformity., A child with congenital talipes calcaneovalgus undergoes a surgical procedure to correct the deformity.The surgery involves tendon lengthening and bone repositioning., An older child with a milder form of talipes calcaneovalgus is managed with conservative treatment, including physical therapy and custom-made orthotics (braces) to support the foot and improve its alignment.
Detailed physical examination findings, including description of the foot deformity (angle of deviation, flexibility, presence of associated anomalies), radiographic imaging (X-rays) to assess bony structures, and complete documentation of any treatment provided (casting, bracing, surgical procedures, and rehabilitation).
** This code should only be applied to congenital cases of talipes calcaneovalgus. Acquired forms of this condition should be coded using other relevant ICD-10-CM codes.The severity of the deformity can significantly impact treatment and prognosis. Always document the detailed clinical findings, diagnosis, and management plan to ensure appropriate reimbursement.
- Payment Status: Active
- Specialties:Orthopedics, Pediatric Orthopedics, Podiatry
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center