Congenital complete absence of upper limb, bilateral
ICD-10 Q71.03 is a billable code used to indicate a diagnosis of congenital complete absence of upper limb, bilateral.
Congenital complete absence of upper limb, bilateral (Q71.03) refers to a condition where both upper limbs are completely absent at birth. This condition is classified under congenital malformations of the musculoskeletal system and can occur as an isolated anomaly or as part of a syndrome. The absence of upper limbs can significantly impact a child's development, affecting their ability to perform daily activities, engage in play, and achieve developmental milestones. The etiology may involve genetic factors, environmental influences, or a combination of both. It is essential for healthcare providers to assess the child for associated anomalies, including those affecting the lower limbs or other systems. Early intervention, including physical therapy and adaptive equipment, is crucial for optimizing functional outcomes. Multidisciplinary care involving pediatricians, orthopedic specialists, and occupational therapists is often required to address the complex needs of these patients.
Documentation should include a detailed history of the congenital condition, associated anomalies, and developmental assessments.
Common scenarios include initial assessments at birth, ongoing evaluations for developmental milestones, and referrals for therapy.
Considerations include the need for adaptive devices and the psychosocial impact on the child and family.
Genetic evaluations should document family history, potential syndromic associations, and results of genetic testing.
Scenarios may involve genetic counseling for families and discussions about recurrence risks.
Considerations include the need for comprehensive genetic assessments to identify any underlying syndromes.
Used for rehabilitation in children with limb absence.
Document the specific exercises and goals.
Pediatric therapists should provide detailed notes on progress.
Documentation should include the diagnosis of bilateral upper limb absence, any associated congenital anomalies, and details of the child's developmental assessments and therapy needs.
