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ICD-10 Guide
ICD-10 CodesM21.7

M21.7

Billable

Unequal limb length (acquired)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M21.7 is a billable code used to indicate a diagnosis of unequal limb length (acquired).

Key Diagnostic Point:

Unequal limb length (acquired) refers to a condition where one limb is shorter or longer than the other due to factors that are not congenital but rather developed over time. This condition can arise from various causes, including trauma, surgical interventions, infections, or diseases that affect bone growth or structure. For instance, a fracture that heals improperly may lead to a discrepancy in limb length. Additionally, conditions such as osteomyelitis or tumors can necessitate surgical procedures that may result in limb length inequality. Patients may experience functional limitations, gait abnormalities, and increased risk of joint problems due to the altered biomechanics. Treatment often involves corrective procedures such as limb lengthening or shortening surgeries, orthotic devices, and physical therapy to improve function and alleviate discomfort. Accurate coding of this condition is crucial for appropriate management and reimbursement, as it often requires multidisciplinary care involving orthopedic specialists, physical therapists, and rehabilitation professionals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to unequal limb length.
  • Need for detailed documentation of the acquired nature of the condition.
  • Potential for associated conditions that may complicate coding.
  • Variability in treatment approaches and their documentation.

Audit Risk Factors

  • Inadequate documentation of the acquired nature of the condition.
  • Failure to specify the underlying cause of limb length discrepancy.
  • Lack of supporting clinical evidence for corrective procedures.
  • Misclassification of congenital versus acquired conditions.

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed surgical notes, imaging reports, and follow-up assessments.

Common Clinical Scenarios

Post-fracture limb length discrepancy, post-surgical complications leading to unequal limb length.

Billing Considerations

Ensure clear documentation of the cause and treatment plan, including any corrective surgeries performed.

Physical Therapy

Documentation Requirements

Therapy notes detailing functional assessments and treatment plans.

Common Clinical Scenarios

Rehabilitation following limb lengthening procedures or compensatory strategies for gait abnormalities.

Billing Considerations

Document the impact of unequal limb length on mobility and function to support therapy claims.

Coding Guidelines

Inclusion Criteria

Use M21.7 When
  • According to ICD
  • 10 guidelines, M21
  • 7 should be used when the limb length discrepancy is acquired, and the underlying cause is documented
  • It is important to specify the nature of the acquired condition and any associated diagnoses

Exclusion Criteria

Do NOT use M21.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Lengthening of limb

Clinical Scenario

Used in cases of acquired limb length discrepancy requiring surgical intervention.

Documentation Requirements

Surgical notes detailing the procedure and indication for surgery.

Specialty Considerations

Orthopedic documentation must clearly outline the need for the procedure based on acquired conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acquired conditions like unequal limb length, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acquired conditions like unequal limb length, improving the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of acquired unequal limb length?

Common causes include trauma, surgical interventions, infections, and diseases affecting bone growth such as osteomyelitis or tumors.