Congenital absence of unspecified upper arm and forearm with hand present
ICD-10 Q71.10 is a billable code used to indicate a diagnosis of congenital absence of unspecified upper arm and forearm with hand present.
Congenital absence of the upper arm and forearm with the hand present is a rare congenital malformation characterized by the complete or partial absence of the humerus and radius/ulna, while the hand remains intact. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital defects. The absence may vary in severity, and the functional implications depend on the degree of limb involvement. Children with this condition may face challenges in mobility and dexterity, necessitating early intervention and possibly prosthetic fitting. The etiology is often multifactorial, involving genetic and environmental factors during embryonic development. Accurate diagnosis typically involves clinical examination and imaging studies to assess limb structure and function. Management may include physical therapy, occupational therapy, and surgical interventions to enhance function and appearance.
Documentation should include detailed physical examination findings, imaging results, and treatment plans. Growth and developmental assessments are crucial.
Common scenarios include initial diagnosis at birth, follow-up assessments for growth and function, and referrals for prosthetic evaluation.
Considerations include the psychosocial impact on the child and family, as well as the need for multidisciplinary care involving pediatricians, orthopedic surgeons, and therapists.
Genetic counseling notes, family history assessments, and results of genetic testing should be documented to identify potential syndromic associations.
Scenarios may include genetic evaluation for syndromic conditions, family planning discussions, and assessments for recurrence risk.
Considerations include the need for genetic testing to rule out chromosomal abnormalities and syndromes associated with limb malformations.
Used in cases where surgical intervention is necessary for limb absence.
Document the reason for amputation and any associated conditions.
Orthopedic surgeons should provide detailed operative notes.
Documentation should include a detailed clinical examination, imaging studies, and treatment plans. Any associated congenital anomalies should also be documented to ensure accurate coding.
