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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.02

Q72.02

Billable

Congenital complete absence of left lower limb

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

Code Description

ICD-10 Q72.02 is a billable code used to indicate a diagnosis of congenital complete absence of left lower limb.

Key Diagnostic Point:

Congenital complete absence of the left lower limb, classified under Q72.02, refers to a condition where the left leg is entirely absent from birth. This condition is categorized as a limb reduction defect, which can occur due to various factors during fetal development, including genetic anomalies, environmental influences, or teratogenic exposures. The absence of a limb can significantly impact a child's mobility, development, and psychosocial well-being. Children with this condition may require multidisciplinary care, including orthopedic interventions, prosthetic fitting, and physical therapy to enhance mobility and functional independence. Early intervention is crucial for optimizing outcomes, and ongoing assessments are necessary to address any associated complications or comorbidities. The condition may also be part of broader syndromic presentations, necessitating genetic evaluation and counseling to understand potential hereditary implications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of limb absence severity
  • Potential association with syndromic conditions
  • Need for multidisciplinary care coordination
  • Variations in coding practices across specialties

Audit Risk Factors

  • Inadequate documentation of limb absence
  • Failure to document associated conditions or syndromes
  • Misclassification of limb reduction defects
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of the limb absence, functional assessments, and any interventions planned or performed.

Common Clinical Scenarios

Common scenarios include initial assessments in the NICU, follow-up visits for prosthetic fitting, and evaluations for physical therapy.

Billing Considerations

Considerations include the child's developmental milestones and psychosocial impacts of limb absence.

Genetics

Documentation Requirements

Genetic documentation should include family history, potential syndromic associations, and results from genetic testing if performed.

Common Clinical Scenarios

Scenarios may involve genetic counseling sessions for families and evaluations for syndromic conditions.

Billing Considerations

Considerations include the need for comprehensive genetic evaluations to rule out associated chromosomal abnormalities.

Coding Guidelines

Inclusion Criteria

Use Q72.02 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific anatomical site and type of malformation
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use Q72.02 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27599CPT Code

Unlisted procedure on the femur

Clinical Scenario

Used when performing surgical interventions related to limb absence.

Documentation Requirements

Documentation must detail the procedure's necessity and any associated conditions.

Specialty Considerations

Orthopedic specialists should provide comprehensive notes on the surgical approach and expected outcomes.

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 limb absence.

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 limb absence.

Reimbursement & Billing Impact

reimbursement processes for congenital limb absence.

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 Q72.02?

Documentation must include a clear diagnosis of congenital complete absence of the left lower limb, any associated conditions, and details of the clinical assessments and interventions planned or performed.