Unequal limb length (acquired), right femur
ICD-10 M21.751 is a billable code used to indicate a diagnosis of unequal limb length (acquired), right femur.
Unequal limb length, also known as limb length discrepancy, refers to a condition where one limb is shorter than the other due to various acquired factors. In the case of M21.751, the discrepancy specifically involves the right femur. This condition can arise from several causes, including trauma, surgical interventions, infections, or diseases that affect bone growth and development. Acquired limb length discrepancies can lead to functional impairments, gait abnormalities, and increased risk of osteoarthritis in the affected limb. Clinically, patients may present with complaints of pain, difficulty walking, or compensatory postural changes. Diagnosis typically involves a thorough clinical examination, imaging studies such as X-rays or MRI, and sometimes gait analysis. Treatment options vary based on the severity of the discrepancy and may include physical therapy, orthotic devices, or surgical interventions such as limb lengthening procedures or osteotomies. Accurate coding of this condition is essential for appropriate management and reimbursement.
Detailed clinical notes including history, physical examination findings, imaging results, and treatment plans.
Patients presenting with post-traumatic limb length discrepancies, osteomyelitis leading to shortening, or post-surgical changes.
Ensure that all relevant imaging studies are documented and correlate with the clinical findings to support the diagnosis.
Comprehensive assessment of functional limitations, treatment goals, and progress notes.
Patients requiring rehabilitation after limb lengthening procedures or those with gait abnormalities due to unequal limb lengths.
Focus on functional outcomes and the impact of the limb length discrepancy on daily activities.
Used in cases where surgical intervention is required to correct limb length discrepancy.
Surgical notes detailing the procedure, indications, and post-operative care.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Congenital limb length discrepancy is present at birth and is often due to genetic factors, while acquired limb length discrepancy develops later in life due to trauma, surgery, or disease.
