Unequal limb length (acquired), left femur
ICD-10 M21.752 is a billable code used to indicate a diagnosis of unequal limb length (acquired), left 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 M21.752, the focus is on the left femur. This condition can arise from 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 in 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 may include orthopedic interventions, such as limb lengthening procedures, corrective osteotomies, or the use of orthotic devices to balance the limb lengths. Accurate coding is essential for appropriate management and reimbursement, as it reflects the complexity of the patient's condition and the interventions required.
Detailed clinical notes on the history of the limb length discrepancy, imaging results, and treatment plans.
Patients with post-traumatic limb length discrepancies, those undergoing limb lengthening procedures, or patients with osteoarthritis secondary to unequal limb lengths.
Ensure that all acquired causes are documented, including trauma history and any surgical interventions.
Functional assessments, gait analysis, and rehabilitation plans must be documented.
Patients requiring rehabilitation after limb lengthening or those with functional impairments due to limb length discrepancies.
Focus on the impact of the discrepancy on mobility and quality of life.
Used in cases where surgical intervention is required to correct limb length discrepancies.
Surgical notes detailing the procedure, indications, and post-operative care.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Common causes include trauma, surgical interventions, infections, and diseases affecting bone growth such as osteomyelitis or tumors.