This article will outline the causes, symptoms, diagnosis, treatment and the ICD 10 CM code for Pes Planus.
Pes Planus ICD 10 Causes
Pes Planus ICD 10 (flat feet) are normal in infants and young children because the arch of the foot is not yet fully developed. Most people have a bow that was developed in childhood, but some people never develop a bow. Children have flexible flat arches that are visible when sitting, standing or tiptoeing and disappear when standing. Most children grow out of this condition without problems. Due to the normal variation of foot types, archery is not a problem for some people.
Over the years, wear and tear weakens the tendons that run along the inside of the ankle, helping to support the bow. The bow may fall off over time.
Pes Planus ICD 10 Symptoms
Pes Planus ICD 10 Symptoms include pain along the inside of the arch, heel and ankle, as well as the outside of the foot and ankle. Young patients often complain of their inability to keep up with their peers in physical activity. Some patients complain of generalized foot fatigue, which can be the first sign of a flat foot. Flat foot can cause any of these symptoms.
Over time, a flattening of the floor can lead to a rolling of the foot and ankles and a tilted heel. Excessive wear patterns inside the heel can be observed in shoes. Flatfoot can cause shin pain, shin splints and pain in knees and hips.
Pes Planus ICD 10 Diagnosis
Pes Planus ICD 10 can be self-diagnosed, but the underlying causes require an examination by a foot specialist, also known as a podiatrist.
This includes visual examination and imaging to assess the structure of the foot. The first way to diagnose flat feet is a visual examination. A podiatrist can diagnose a flat foot by looking at the foot while standing. Vision tests can use the wet footprint test, which is performed on wet feet while standing on a smooth, flat surface.
The thickest imprint is on the heel and the pad of the foot and on the flatter foot. In contrast, the higher arch leaves a narrower imprint on the outer foot.
The second eye test is the shoe test, which can provide evidence of a faulty foot mechanism. Patients with flat feet may have wear on the inside of the sole and heel area. The upper of the shoe tends to lean towards the sole.
In many toe tests the doctor stands behind the patient and counts the number of arch toes that originate from the sides. The pink toe is usually seen in people with normal pronation, but three or four can be considered over pronounced. The last eye test, the toe test, is used to determine whether the patient has a flexible, rigid or flat foot. The visible arch is formed when the patient stands on his toes and has a flexible or flat foot.
Pes Planus ICD 10 Treatment
Not all doctors recommend the treatment of Pes Planus ICD 10. Another way to diagnose flat feet is an imaging test. If a patient has severe foot pain, the doctor may order an image test to determine the underlying cause. This test uses X-ray computed tomography (CT) scans, which are ideal for diagnosing arthritis, to assess irregularities in the angle and orientation of the foot bones.
Magnetic resonance imaging (MRI) provides detailed images of bone and soft tissue damage and is ideal for people with rheumatoid arthritis, tendinitis and achy-steel injuries. Ultrasound can also be used to create a detailed picture of soft tissue damage such as a tendon tear.
People who have no symptoms may not need treatment. Extra-seated shoes can help. If flat feet cause pain, a supportive, well-fitting shoe can help. Some people with flat feet align their limbs to prevent symptoms.
People with posterior tibial tendinitis can benefit by inserting a wedge along the inside of the orthosis into their shoes. A well-fitting insole or orthosis with bow support can reduce the pressure in the arch and relieve pain when the foot rolls. It can treat symptoms but may not offer long-term benefits.
This relieves the tendon tissue somewhat. Wearing an ankle brace is beneficial because it reduces inflammation.
A person with arthritis or a torn tendon may find that a combination of insole painkillers can minimize their symptoms. If this does not work, surgery may be necessary. Doctors advise people to rest until their symptoms improve and avoid activities that could aggravate the foot or the foot itself.
In rare cases, surgery may be necessary to separate fused bones. Some bones do not develop properly in childhood, leading to flat feet from birth that continue into adulthood. Obesity can also cause flat feet, but losing weight can improve symptoms.
ICD 10 Code For Pes Planus
ICD 10 CM M21.40 Flat foot [pes planus] (acquired) unspecified foot