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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.93

Q71.93

Billable

Unspecified reduction defect of upper limb, bilateral

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

Code Description

ICD-10 Q71.93 is a billable code used to indicate a diagnosis of unspecified reduction defect of upper limb, bilateral.

Key Diagnostic Point:

Unspecified reduction defect of the upper limb, bilateral, refers to a congenital condition characterized by the partial or complete absence of one or more limbs, specifically affecting both upper limbs. This condition can arise from various etiologies, including genetic factors, environmental influences, or teratogenic exposures during pregnancy. Clinically, patients may present with varying degrees of limb reduction, which can significantly impact their functional abilities and quality of life. The condition may be associated with other congenital anomalies, particularly those affecting the musculoskeletal system, such as scoliosis or clubfoot. Early diagnosis and intervention are crucial for optimizing outcomes, including physical therapy and potential surgical interventions to enhance limb function. Genetic counseling may also be indicated, especially if there is a family history of congenital malformations. Accurate coding is essential for appropriate management and resource allocation in pediatric care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of limb reduction defects.
  • Potential association with other congenital anomalies requiring additional codes.
  • Need for precise documentation to differentiate between types of limb defects.
  • Challenges in determining the exact nature of the defect without detailed imaging or examination.

Audit Risk Factors

  • Inadequate documentation of the specific type of limb reduction.
  • Failure to report associated congenital anomalies.
  • Misclassification of the condition due to lack of clarity in clinical notes.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the extent of limb reduction, associated conditions, and treatment plans.

Common Clinical Scenarios

Assessment of infants with limb reduction defects during routine pediatric evaluations or referrals for orthopedic assessment.

Billing Considerations

Consideration of developmental milestones and functional assessments in young children.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations with limb reduction defects.

Common Clinical Scenarios

Genetic counseling sessions for families with a history of congenital limb defects or unexplained anomalies.

Billing Considerations

Understanding the genetic basis of limb reduction defects and their implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q71.93 When
  • Follow the 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 Q71.93 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for children with congenital limb defects.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Pediatric specialists should ensure comprehensive assessments are included.

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 for congenital malformations.

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 for congenital malformations.

Reimbursement & Billing Impact

reimbursement processes for congenital malformations.

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 needed for coding Q71.93?

Documentation should include a detailed clinical description of the limb reduction defect, any associated congenital anomalies, and treatment plans. It is essential to specify the bilateral nature of the condition and any functional assessments performed.