Congenital absence of both forearm and hand, unspecified upper limb
ICD-10 Q71.20 is a billable code used to indicate a diagnosis of congenital absence of both forearm and hand, unspecified upper limb.
Congenital absence of both forearm and hand, unspecified upper limb (Q71.20) refers to a condition where a child is born without the forearms and hands. This condition is classified under congenital malformations of the musculoskeletal system, which can arise from genetic factors, environmental influences, or a combination of both. The absence of limbs can significantly impact a child's development, mobility, and ability to perform daily activities. It may be associated with other congenital anomalies, such as limb reduction defects, clubfoot, or scoliosis. Early intervention, including physical therapy and adaptive devices, is crucial for enhancing the child's functional abilities. Genetic counseling may also be recommended to understand the underlying causes and potential recurrence in future pregnancies. Accurate coding is essential for appropriate management and resource allocation in pediatric care.
Documentation should include detailed descriptions of limb absence, associated conditions, and treatment plans.
Pediatric assessments for developmental milestones, referrals for prosthetic evaluation, and therapy sessions.
Consideration of the child's age and developmental stage when planning interventions.
Genetic testing results, family history, and counseling notes should be documented to assess risk factors.
Genetic counseling sessions for families with a history of congenital limb defects.
Understanding the genetic basis of limb malformations and implications for future pregnancies.
Used for fitting adaptive devices for children with limb absence.
Document the need for orthotic devices and the child's functional limitations.
Pediatric specialists should collaborate with orthotists for optimal device fitting.
Accurate coding of Q71.20 is crucial for ensuring appropriate care management, resource allocation, and understanding the prevalence of congenital limb absence. It also aids in research and tracking outcomes for affected children.
