Congenital partial dislocation of right hip, unilateral
ICD-10 Q65.31 is a billable code used to indicate a diagnosis of congenital partial dislocation of right hip, unilateral.
Congenital partial dislocation of the right hip, also known as hip dysplasia, is a condition where the femoral head is not properly seated in the acetabulum of the pelvis. This malformation can lead to instability in the hip joint, which may result in pain, limited mobility, and potential long-term complications such as osteoarthritis if not addressed early. The condition is often diagnosed in infancy or early childhood through physical examination and imaging studies such as ultrasound or X-rays. Treatment typically involves the use of a Pavlik harness or surgical intervention in more severe cases. Early detection and management are crucial to ensure proper hip development and function. This condition is part of a broader category of congenital malformations that can affect the musculoskeletal system, and it may coexist with other congenital anomalies, including those affecting the urinary system, such as renal agenesis or bladder exstrophy.
Detailed growth and developmental assessments, imaging results, and treatment plans.
Infants presenting with hip clicks or limited range of motion during routine check-ups.
Consideration of family history of hip dysplasia and associated congenital conditions.
Genetic evaluations for syndromic associations and family history of congenital conditions.
Referral for genetic counseling in cases of multiple congenital anomalies.
Assessment for chromosomal abnormalities that may be linked to hip dysplasia.
Used in cases where non-surgical management fails.
Detailed operative notes and post-operative care plans.
Orthopedic documentation must include pre-operative assessments.
Documentation should include a detailed clinical assessment, imaging results, treatment plans, and any associated congenital conditions. Ensure that laterality is clearly indicated.
