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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.01

Q71.01

Billable

Congenital complete absence of right upper limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q71.01 is a billable code used to indicate a diagnosis of congenital complete absence of right upper limb.

Key Diagnostic Point:

Congenital complete absence of the right upper limb, classified under Q71.01, refers to a condition where the right arm is entirely absent from birth. This condition can arise from various factors, including genetic mutations, environmental influences during pregnancy, or disruptions in limb development. The absence of the limb can significantly impact the child's functional abilities and may require multidisciplinary management, including physical therapy, occupational therapy, and possibly prosthetic fitting. Children with this condition may also experience psychosocial challenges as they grow, necessitating supportive interventions. The absence of the limb can be isolated or part of a syndrome involving other congenital anomalies, which may require comprehensive genetic evaluation and counseling. Early intervention is crucial to optimize developmental outcomes and enhance the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of limb absence severity
  • Potential association with syndromic conditions
  • Need for multidisciplinary care coordination
  • Variations in coding practices across specialties

Audit Risk Factors

  • Inadequate documentation of limb absence
  • Failure to note associated congenital anomalies
  • Misclassification of limb absence severity
  • Lack of multidisciplinary care documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on the child's functional abilities, developmental milestones, and any interventions provided.

Common Clinical Scenarios

Assessment of developmental milestones in a child with limb absence, referral for prosthetic evaluation, and coordination of care with physical therapy.

Billing Considerations

Consideration of psychosocial impacts and family support needs is essential for comprehensive care.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations must be documented.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital limb defects and evaluation for syndromic conditions.

Billing Considerations

Understanding the genetic basis of limb absence can guide management and inform family planning.

Coding Guidelines

Inclusion Criteria

Use Q71.01 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of the absence and any associated anomalies
  • Use additional codes to capture related conditions or complications

Exclusion Criteria

Do NOT use Q71.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97760CPT Code

Orthotic management and training

Clinical Scenario

Used for fitting and training with prosthetics for limb absence.

Documentation Requirements

Document the type of prosthetic and training provided.

Specialty Considerations

Pediatric specialists should ensure age-appropriate interventions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving data accuracy and facilitating better patient management.

Resources

Clinical References

  • •
    ICD-10-CM Coding Guidelines

Coding & Billing References

  • •
    ICD-10-CM Coding Guidelines

Frequently Asked Questions

What documentation is required for coding Q71.01?

Documentation should include a clear diagnosis of the congenital absence, any associated conditions, and details of interventions or referrals made for therapy or prosthetics.