Split foot, bilateral

This code describes a congenital malformation characterized by a deep median cleft of the foot, resulting in a V-shaped defect that separates the central rays. It specifically indicates that this condition affects both feet. This anomaly often involves the absence of one or more central toes and metatarsals.

Assign this code for patients diagnosed with bilateral split foot, also known as ectrodactyly of the foot, when the documentation clearly specifies involvement of both lower extremities. This code is appropriate for congenital cases identified at birth or later in life. Supporting documentation should include physician notes detailing the malformation and its bilateral presentation.

• Ensure documentation explicitly states "bilateral" involvement; otherwise, a unilateral code (Q72.71 or Q72.72) or unspecified code (Q72.70) may be more appropriate.
• Do not confuse with other congenital foot deformities like clubfoot (Q66.0-Q66.9) or other specified congenital malformations of the foot (Q72.8-).
• Consider additional codes for any associated congenital anomalies or complications, such as syndactyly or polydactyly, if present.