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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.892

Q71.892

Billable

Other reduction defects of left upper limb

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

Code Description

ICD-10 Q71.892 is a billable code used to indicate a diagnosis of other reduction defects of left upper limb.

Key Diagnostic Point:

Q71.892 refers to congenital malformations characterized by the underdevelopment or absence of parts of the left upper limb. These reduction defects can manifest as a complete or partial absence of the arm, forearm, or hand. The etiology of these conditions can be multifactorial, including genetic predispositions, environmental factors, or teratogenic influences during pregnancy. Clinically, patients may present with varying degrees of functional impairment, which can affect daily activities and overall quality of life. Associated conditions may include syndactyly, polydactyly, or other limb anomalies. Early diagnosis and intervention are crucial for optimizing functional outcomes, often involving a multidisciplinary approach that includes orthopedic surgery, physical therapy, and occupational therapy. Genetic counseling may also be indicated, especially if there is a family history of congenital limb defects. Understanding the specific nature of the reduction defect is essential for appropriate management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of limb reduction defects
  • Need for precise documentation of limb involvement
  • Potential for associated congenital anomalies
  • Differentiation from other congenital limb conditions

Audit Risk Factors

  • Inadequate documentation of limb involvement
  • Failure to note associated congenital anomalies
  • Misclassification of limb reduction severity
  • Lack of clarity in the clinical narrative

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include detailed descriptions of the limb's condition, functional assessments, and any associated anomalies.

Common Clinical Scenarios

Common scenarios include newborn assessments for limb anomalies, follow-up visits for developmental milestones, and referrals for surgical interventions.

Billing Considerations

Considerations include the age of the patient, the impact on growth and development, and the need for ongoing therapy.

Genetics

Documentation Requirements

Genetic evaluations should document family history, potential syndromic associations, and results of genetic testing.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of limb reduction defects or syndromes associated with limb anomalies.

Billing Considerations

Considerations include the implications of genetic findings on prognosis and management, as well as the need for family support.

Coding Guidelines

Inclusion Criteria

Use Q71.892 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding based on the clinical presentation and associated conditions

Exclusion Criteria

Do NOT use Q71.892 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 reduction defect management for joint-related issues.

Documentation Requirements

Document the indication for the procedure and any findings.

Specialty Considerations

Orthopedic specialists may perform this procedure for associated joint complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to capture the nuances of limb reduction defects and their associated complexities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to capture the nuances of limb reduction defects and their associated complexities.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to capture the nuances of limb reduction defects and their associated complexities.

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 is the importance of specifying laterality in limb reduction defects?

Specifying laterality is crucial for accurate coding and treatment planning, as it affects the management and rehabilitation strategies tailored to the patient's specific needs.