Congenital absence of both forearm and hand, left upper limb
ICD-10 Q71.22 is a billable code used to indicate a diagnosis of congenital absence of both forearm and hand, left upper limb.
Congenital absence of both the forearm and hand on the left upper limb is a specific limb reduction defect characterized by the complete absence of the forearm and hand structures. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence may result from genetic factors, environmental influences during pregnancy, or a combination of both. Clinically, this condition is assessed through physical examination and imaging studies to evaluate the extent of limb involvement and any associated anomalies. Management typically involves multidisciplinary care, including orthopedic evaluation, prosthetic fitting, and occupational therapy to optimize function and adaptation. Early intervention is crucial to support the child's development and improve quality of life. The condition may be associated with other congenital malformations, such as clubfoot or scoliosis, necessitating comprehensive evaluation and management.
Documentation must include detailed physical examination findings, imaging results, and any associated congenital anomalies.
Common scenarios include newborn assessments for limb anomalies, referrals for orthopedic evaluation, and discussions regarding prosthetic options.
Consideration of developmental milestones and the impact of limb absence on functional abilities is essential for accurate coding.
Genetic counseling notes should document family history, potential syndromic associations, and genetic testing results.
Scenarios may include genetic evaluations for syndromes associated with limb reduction defects and discussions about recurrence risks.
Understanding the genetic basis of congenital limb defects is crucial for accurate coding and management.
Used for fitting and management of prosthetics for limb absence.
Documentation must include the type of prosthetic device and the patient's functional needs.
Orthopedic specialists should provide detailed notes on the patient's progress and adaptations.
Documentation must include a detailed physical examination, imaging studies, and any associated congenital anomalies. It should also reflect the multidisciplinary approach to management.
