Congenital dislocation of hip, bilateral
ICD-10 Q65.1 is a billable code used to indicate a diagnosis of congenital dislocation of hip, bilateral.
Congenital dislocation of the hip, also known as developmental dysplasia of the hip (DDH), is a condition where the hip joint is improperly formed, leading to dislocation. In bilateral cases, both hips are affected. This condition can occur due to genetic factors, mechanical factors during pregnancy, or a combination of both. Infants may present with limited hip abduction, asymmetrical skin folds, or a positive Ortolani or Barlow test during physical examination. Early diagnosis is crucial as untreated DDH can lead to significant complications, including osteoarthritis and impaired mobility later in life. Treatment options vary based on the age of the child and severity of the dislocation, ranging from observation and bracing to surgical intervention. The condition is often associated with other congenital malformations, including those affecting the urinary system, such as renal agenesis or bladder exstrophy, necessitating a comprehensive evaluation of the child’s overall health.
Detailed physical examination notes, including hip range of motion and any imaging results.
Infants presenting with hip clicks or asymmetrical leg lengths during well-child visits.
Consideration of family history of hip dysplasia and associated congenital conditions.
Genetic testing results if applicable, family history of congenital conditions.
Referral for genetic counseling in cases with multiple congenital anomalies.
Understanding the genetic syndromes that may predispose to hip dislocation.
Used in cases where non-surgical management fails.
Operative report detailing the procedure and findings.
Orthopedic documentation must include pre-operative assessments.
Accurate coding of bilateral congenital dislocation of the hip is crucial for treatment planning and understanding the potential for associated conditions. It ensures appropriate management and follow-up care, which can significantly impact the child's long-term outcomes.
