What is the ICD-10 (International Classification of Diseases, 10th Revision) code for congenital pes planus (flat foot) in a 3-year-old child?

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ICD-10 Code for Flat Foot in a 3-Year-Old Child

The appropriate ICD-10 code for congenital pes planus (flat foot) in a 3-year-old child is Q66.5 (Congenital pes planus).

Diagnostic Classification of Pediatric Flatfoot

Pediatric flatfoot can be classified into two main categories:

  1. Congenital/Physiologic Flatfoot

    • Most common in young children
    • Usually flexible and asymptomatic
    • ICD-10 code: Q66.5 (Congenital pes planus)
  2. Acquired/Pathologic Flatfoot

    • May be rigid or symptomatic
    • Can be associated with underlying conditions
    • Different codes depending on etiology

Assessment Considerations for Pediatric Flatfoot

When evaluating a 3-year-old with flatfoot, consider:

  • Age-appropriate development: Flatfoot is normal and physiologic in most children under age 6 1
  • Flexibility: Assess if the arch appears when the child stands on tiptoes or when the foot is non-weight bearing
  • Symptoms: Determine if the condition is painful or asymptomatic
  • Associated conditions: Check for joint hypermobility, obesity, or neurological issues

Clinical Context for Coding

  • In a 3-year-old child, flatfoot is typically physiologic and asymptomatic 2
  • The American Academy of Pediatrics and other medical societies recommend that only symptomatic flexible flatfeet should be treated 1
  • Most cases resolve spontaneously by adolescence without intervention 3

Coding Pitfalls to Avoid

  1. Don't use adult flatfoot codes (such as M21.4) for pediatric patients
  2. Don't use acquired flatfoot codes unless there is clear evidence of secondary causes
  3. Don't add unnecessary modifiers if the condition is bilateral and symmetric (which is typical)
  4. Don't code as pathologic if the condition is asymptomatic and flexible

Follow-up Considerations

  • For asymptomatic cases: Annual review until resolution 1
  • For symptomatic cases: Follow-up at 4-6 weeks after initial intervention, then every 3-6 months 1
  • Monitor for development of symptoms in previously asymptomatic cases
  • Assess footwear fit and wear patterns regularly as the child grows

In summary, for a 3-year-old child with flatfoot, the appropriate ICD-10 code is Q66.5 (Congenital pes planus), as this condition is typically physiologic and part of normal development at this age.

References

Guideline

Pediatric Flatfoot Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Foot and Ankle Conditions: Pes Planus.

FP essentials, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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