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ICD-10 Guide
ICD-10 CodesQ71.81

Q71.81

Billable

Congenital shortening of upper limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q71.81 is a billable code used to indicate a diagnosis of congenital shortening of upper limb.

Key Diagnostic Point:

Congenital shortening of the upper limb refers to a condition where one or both arms are shorter than normal due to developmental anomalies during fetal growth. This condition can result from various factors, including genetic syndromes, environmental influences, or isolated limb reduction defects. The shortening may affect the humerus, radius, or ulna, leading to functional limitations and aesthetic concerns. Associated congenital malformations may include syndactyly, polydactyly, or other limb deformities. The condition can be diagnosed through physical examination and imaging studies, such as X-rays, to assess the degree of shortening and any associated skeletal anomalies. Treatment often involves a multidisciplinary approach, including orthopedic interventions, physical therapy, and, in some cases, surgical correction to improve function and appearance. Early intervention is crucial for optimizing developmental outcomes in affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of limb shortening
  • Potential association with other congenital anomalies
  • Need for precise documentation of limb measurements
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of limb measurements
  • Failure to report associated congenital anomalies
  • Misclassification of congenital vs. acquired conditions
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including limb measurements and functional evaluations.

Common Clinical Scenarios

Assessment of a newborn with suspected limb shortening, follow-up evaluations for developmental milestones.

Billing Considerations

Consideration of family history and potential genetic syndromes associated with limb malformations.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and documentation of any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital limb defects, evaluation of syndromic conditions.

Billing Considerations

Understanding the genetic basis of limb malformations and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q71.81 When
  • Follow official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's specifics and any associated anomalies

Exclusion Criteria

Do NOT use Q71.81 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20670CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with limb shortening for joint evaluation.

Documentation Requirements

Document the joint involved and reason for aspiration.

Specialty Considerations

Orthopedic specialists may require additional imaging documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What documentation is required for coding Q71.81?

Documentation must include detailed measurements of the limb, any associated congenital anomalies, and a clear treatment plan. Ensure that all clinical findings are recorded to support the diagnosis.