Congenital absence of hand and finger, bilateral
ICD-10 Q71.33 is a billable code used to indicate a diagnosis of congenital absence of hand and finger, bilateral.
Congenital absence of hand and finger, bilateral (Q71.33) refers to a condition where both hands and fingers are absent at birth. 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 can significantly impact a child's development, affecting their ability to perform daily activities and requiring multidisciplinary care, including occupational therapy and possibly surgical interventions for prosthetic fitting. The absence of hands and fingers can also be associated with other musculoskeletal deformities, such as limb reduction defects, which may necessitate comprehensive evaluation and management strategies. Early intervention is crucial to optimize functional outcomes and support the child's adaptation to their environment.
Pediatric documentation should include detailed descriptions of the absence, associated conditions, and developmental assessments.
Common scenarios include newborn assessments, referrals for occupational therapy, and evaluations for prosthetic fitting.
Considerations include the child's age, developmental milestones, and the need for family support and education.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families, discussions of recurrence risks, and management of syndromic conditions.
Considerations include the potential for genetic syndromes that may present with limb anomalies and the need for comprehensive genetic evaluation.
Used in conjunction with occupational therapy for children with congenital absence.
Document the specific exercises and goals for therapy.
Pediatric occupational therapists may have specific protocols for children with limb differences.
Documentation must include a clear diagnosis of bilateral absence, any associated congenital anomalies, and a treatment plan that outlines the multidisciplinary approach to care.
