Congenital absence of thigh and lower leg with foot present
ICD-10 Q72.1 is a billable code used to indicate a diagnosis of congenital absence of thigh and lower leg with foot present.
Congenital absence of the thigh and lower leg with the foot present is a rare limb reduction defect characterized by the complete absence of the femur and tibia, while the foot remains intact. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of these segments can lead to significant functional limitations and may require surgical intervention, prosthetic fitting, and extensive rehabilitation. The etiology of this condition is often multifactorial, involving genetic predispositions and environmental factors during pregnancy. It is crucial for healthcare providers to assess the overall health of the child, including any associated anomalies, and to provide a comprehensive care plan that addresses both physical and psychosocial needs. Early intervention is essential for optimizing developmental outcomes and enhancing quality of life for affected individuals.
Documentation should include a thorough physical examination, details of any associated congenital anomalies, and a comprehensive treatment plan.
Common scenarios include initial assessments of newborns with limb reduction defects, follow-up visits for prosthetic fitting, and multidisciplinary team meetings for care coordination.
Coders should be aware of the developmental milestones and potential psychosocial impacts on children with limb deficiencies.
Genetic counseling notes should document family history, potential syndromic associations, and any genetic testing results.
Scenarios may include referrals for genetic evaluation in cases of limb reduction defects associated with known syndromes.
Consideration of genetic syndromes that may present with limb anomalies is crucial for accurate coding and management.
Used when performing a unique surgical procedure for limb reconstruction.
Detailed operative notes and rationale for the procedure.
Orthopedic surgeons should provide comprehensive documentation to support the necessity of the procedure.
Common associated conditions may include clubfoot, hip dysplasia, and other limb reduction defects. It is essential to evaluate for these conditions during the clinical assessment.
