Longitudinal reduction defect of left radius
ICD-10 Q71.42 is a billable code used to indicate a diagnosis of longitudinal reduction defect of left radius.
The longitudinal reduction defect of the left radius is a congenital malformation characterized by the underdevelopment or absence of the radius bone in the forearm. This condition can lead to significant functional impairment, affecting the range of motion and strength of the affected limb. Patients may present with a shortened forearm, altered wrist mechanics, and potential associated deformities in the hand. The defect can occur in isolation or as part of a syndrome involving other congenital anomalies. Diagnosis is typically made through physical examination and imaging studies, such as X-rays, which reveal the extent of the reduction defect. Management may involve orthopedic interventions, including corrective surgery, to improve function and appearance. Early intervention is crucial for optimizing outcomes and facilitating normal development in affected children.
Pediatric documentation should include detailed physical examination findings, imaging results, and treatment plans. Growth and developmental assessments are also critical.
Common scenarios include initial diagnosis during routine pediatric examinations, referrals for orthopedic evaluation, and follow-up visits post-surgery.
Coders should ensure that all relevant congenital conditions are documented, especially if they impact treatment decisions.
Genetic documentation should include family history, genetic testing results, and any syndromic associations that may be present.
Scenarios may involve genetic counseling for families, discussions of recurrence risks, and management of associated syndromes.
Coders should be aware of the implications of genetic findings on the overall management of the patient and ensure accurate coding of any syndromic conditions.
Used in cases where surgical intervention is required for correction of the defect.
Operative reports detailing the procedure and indications for surgery.
Orthopedic specialists should provide comprehensive documentation to support the need for surgical intervention.
Accurate coding of Q71.42 is crucial for ensuring appropriate treatment and management of patients with longitudinal reduction defects. It also impacts data collection for congenital conditions, which can inform research and healthcare policy.
