2025 ICD-10-CM code Q72.7
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Reduction defects of lower limb Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Split foot, a congenital anomaly characterized by a division or separation of the foot.
Modifiers may be appropriate depending on the circumstances of the service, such as the place of service or the provider who performed the service. Consult your local Medicare Administrative Contractor (MAC) for specific guidance.
The medical necessity for coding Q72.7 stems from the presence of a congenital split foot.This diagnosis typically warrants medical attention to assess for associated conditions, plan for treatment (surgical or non-surgical), and ensure the child's mobility and development.
Diagnosis and management of congenital foot anomalies by orthopedists, pediatricians, or specialists in congenital anomalies. This might involve genetic counseling, imaging studies, surgical correction or other interventions. Post-operative care and follow-up are also relevant aspects of clinical responsibility.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q72-Q79 Congenital malformations and deformations of the musculoskeletal system
In simple words: Split foot is a birth defect where the foot is divided or split. It's a congenital condition, meaning it's present from birth.
Q72.7, Split foot, is an ICD-10-CM code that classifies a congenital anomaly of the lower limb.This condition involves a division or separation of the foot, presenting as a cleft or split in the foot structure. The severity and location of the split can vary considerably.Additional codes may be required to specify the affected limb (right, left, or bilateral) and the extent of the anomaly.
Example 1: A newborn infant presents with a visibly split foot.The pediatrician orders X-rays to determine the extent of the deformity and refers the child to an orthopedic surgeon for evaluation and potential surgical correction.Code Q72.7 is used to bill for this diagnosis., A child is diagnosed with bilateral split foot, requiring multiple surgical interventions.Q72.73 (bilateral) is used along with procedural codes to reflect the complexity of care., A patient is seen in a genetics clinic for a family history of split foot. Genetic testing and counselling are conducted. Q72.7 may be a part of the overall coding depending on the specifics of the visit and services provided.Additional codes for genetic testing and counseling would also be needed.
Prenatal ultrasound images (if available), physical examination findings documenting the location and extent of the foot split, radiographic images (X-rays, CT scans) if performed to evaluate the skeletal anatomy, genetic testing results if conducted, operative notes if surgical correction was performed, and any progress notes or follow-up evaluations.
** This code is for use in reporting the diagnosis of split foot.It does not include codes for treatment or procedures.Always ensure appropriate codes for any procedures or services performed are included in addition to this diagnosis code.
- Payment Status: Active
- Specialties:Orthopedics, Pediatrics, Genetics, Plastic Surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center