Congenital dislocation of right hip, unilateral
ICD-10 Q65.01 is a billable code used to indicate a diagnosis of congenital dislocation of right hip, unilateral.
Congenital dislocation of the hip, specifically the right hip, is a condition characterized by the abnormal positioning of the femoral head within the acetabulum, leading to instability or dislocation. This condition is often identified at birth or shortly thereafter and can be associated with other congenital malformations. The etiology may include genetic factors, mechanical factors during gestation, or a combination of both. Early diagnosis is crucial as untreated congenital dislocation can lead to significant morbidity, including hip osteoarthritis and functional impairment. Treatment typically involves the use of a Pavlik harness or surgical intervention, depending on the severity and age of the child at diagnosis. Regular follow-up is essential to monitor hip development and ensure proper alignment. The condition may also be part of broader syndromic presentations, necessitating a comprehensive evaluation for associated anomalies.
Detailed clinical notes including physical examination findings, imaging results, and treatment plans.
Newborn screening for hip dysplasia, follow-up visits for treatment efficacy, and surgical intervention assessments.
Consideration of family history and genetic predispositions to congenital conditions.
Genetic testing results, family pedigree analysis, and documentation of syndromic associations.
Genetic counseling for families with a history of congenital malformations and assessment for syndromic conditions.
Awareness of chromosomal abnormalities that may present with hip dislocation.
Used in cases where non-surgical treatment fails.
Operative reports detailing the procedure and indications.
Orthopedic documentation must clearly outline the necessity for surgical intervention.
Specifying laterality is crucial for accurate coding and treatment planning, as it directly impacts the management and surgical approach for the patient.
