Congenital absence of right hand and finger
ICD-10 Q71.31 is a billable code used to indicate a diagnosis of congenital absence of right hand and finger.
Congenital absence of the right hand and fingers is a limb reduction defect characterized by the complete absence of the right hand and associated digits. 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, it is important to assess the presence of other limb anomalies, as well as any associated musculoskeletal or systemic conditions. Children with this condition may require multidisciplinary care, including orthopedic evaluation, prosthetic fitting, and occupational therapy to enhance functional capabilities. Early intervention is crucial to support the development of motor skills and adaptation to daily activities. The absence of the right hand can significantly impact the child's psychosocial development, necessitating supportive counseling for both the child and family. Accurate coding is essential for appropriate management and resource allocation in pediatric care.
Documentation should include a detailed clinical history, physical examination findings, and any imaging studies that support the diagnosis of congenital absence.
Common scenarios include newborn assessments revealing limb anomalies, referrals for prosthetic evaluation, and multidisciplinary team meetings for care planning.
Consideration should be given to the psychosocial impact on the child and family, as well as the need for early intervention services.
Genetic counseling notes should document family history, potential genetic syndromes, and any genetic testing results that may relate to the congenital absence.
Scenarios may include genetic consultations for syndromic presentations, discussions regarding recurrence risks, and management of associated genetic conditions.
Genetic factors should be explored, especially if the absence is part of a broader syndrome, necessitating a thorough family history and possibly genetic testing.
Used for fitting and management of prosthetics for congenital limb absence.
Documentation must include the clinical rationale for orthotic intervention and details of the fitting process.
Orthopedic specialists should provide detailed notes on the functional assessment and goals for therapy.
Documentation should include a detailed clinical history, physical examination findings, imaging studies, and any associated congenital anomalies. It is essential to specify the laterality of the absence.
