Congenital unstable hip
ICD-10 Q65.6 is a billable code used to indicate a diagnosis of congenital unstable hip.
Congenital unstable hip, classified under Q65.6, refers to a condition where the hip joint is not stable due to malformations present at birth. This instability can lead to dislocation or subluxation of the hip joint, which may result in pain, limited mobility, and potential long-term complications if not addressed early. The condition is often associated with other congenital malformations, particularly in the musculoskeletal system. Diagnosis typically involves physical examination and imaging studies such as ultrasound or X-rays to assess the degree of instability and any associated anomalies. Treatment may include bracing, physical therapy, or surgical intervention depending on the severity of the instability and the age of the child. Early intervention is crucial to prevent further complications and to promote normal hip development. The condition may also be linked to genetic syndromes, necessitating a comprehensive evaluation for associated congenital anomalies.
Detailed physical examination findings, imaging results, and treatment plans must be documented to support the diagnosis.
A pediatric patient presents with hip instability after birth; follow-up visits to monitor development and treatment efficacy.
Consideration of developmental milestones and the impact of treatment on mobility and quality of life.
Genetic testing results, family history of congenital conditions, and any syndromic associations must be documented.
Referral for genetic counseling due to suspected syndromic association with congenital hip instability.
Awareness of genetic syndromes that may present with hip instability, such as Ehlers-Danlos syndrome.
Used in cases where conservative treatment fails and surgical intervention is necessary.
Surgical notes detailing the procedure and pre-operative assessments.
Orthopedic documentation must include indications for surgery and post-operative care plans.
Documentation must include a detailed physical examination, imaging results, treatment plans, and any associated congenital anomalies to support the diagnosis and coding.
