Lobster-claw hand
ICD-10 Q71.6 is a billable code used to indicate a diagnosis of lobster-claw hand.
Lobster-claw hand, also known as split hand/split foot malformation, is a congenital condition characterized by the absence of one or more central digits of the hand or foot, resulting in a claw-like appearance. This condition is a type of limb reduction defect and can occur as an isolated anomaly or as part of a syndrome. The malformation typically affects the second and third digits, leading to a significant functional impact on hand use. Lobster-claw hand can be associated with other congenital malformations, including those affecting the musculoskeletal system such as clubfoot, hip dysplasia, and scoliosis. The etiology of lobster-claw hand is often linked to genetic factors, and it may be inherited in an autosomal dominant pattern. Diagnosis is usually made through clinical examination and imaging studies, which can help assess the extent of the malformation and any associated anomalies. Treatment often involves surgical intervention to improve hand function and appearance, along with physical therapy to enhance mobility and dexterity.
Documentation must include a detailed clinical assessment of the hand's functionality, any associated conditions, and treatment plans.
Pediatric patients presenting with lobster-claw hand may require multidisciplinary care involving orthopedic and rehabilitation specialists.
Coders should be aware of the developmental milestones and functional assessments relevant to pediatric patients.
Genetic testing results, family history, and genetic counseling notes are essential for accurate coding.
Patients with lobster-claw hand may undergo genetic evaluation to determine the risk of recurrence in future pregnancies.
Coders must ensure that genetic syndromes associated with lobster-claw hand are accurately documented.
Used when surgical intervention is required to improve function or aesthetics of the lobster-claw hand.
Document the indication for surgery, pre-operative assessments, and post-operative care.
Orthopedic specialists should provide detailed operative reports.
Accurate coding of lobster-claw hand is crucial for appropriate treatment planning, resource allocation, and understanding the condition's impact on the patient's quality of life. It also aids in research and tracking of congenital malformations.
