Unequal limb length (acquired), left fibula
ICD-10 M21.764 is a billable code used to indicate a diagnosis of unequal limb length (acquired), left fibula.
Unequal limb length, particularly when acquired, refers to a condition where one limb is shorter than the other due to various factors such as trauma, surgery, or disease. In the case of M21.764, the focus is on the left fibula, which may have been affected by conditions such as fractures, infections, or surgical interventions that lead to a discrepancy in limb length. This condition can result in functional impairments, gait abnormalities, and increased risk of joint problems due to altered biomechanics. The acquired nature of this deformity distinguishes it from congenital limb length discrepancies, necessitating careful assessment and management. Treatment options may include physical therapy, orthotic devices, or surgical interventions aimed at correcting the length discrepancy and restoring normal function. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition and treatment plan.
Detailed clinical notes on the patient's history, physical examination findings, imaging studies, and treatment plans.
Patients presenting with post-traumatic limb length discrepancies, those undergoing corrective surgeries, or individuals with chronic conditions affecting bone growth.
Ensure that all relevant surgical procedures and follow-up care are documented to support the coding of M21.764.
Progress notes detailing the patient's functional status, treatment interventions, and response to therapy.
Patients receiving rehabilitation for gait abnormalities due to unequal limb length or post-surgical recovery.
Documenting the specific goals of therapy and any modifications made to treatment plans based on the patient's progress.
Used in cases where surgical intervention is required to correct limb length discrepancy.
Operative reports detailing the procedure, indications, and post-operative care.
Orthopedic surgeons must document the rationale for surgery and any pre-operative assessments.
Congenital unequal limb length is present at birth and often due to genetic factors, while acquired unequal limb length develops later in life due to trauma, surgery, or disease.
