Congenital absence of right thigh and lower leg with foot present
ICD-10 Q72.11 is a billable code used to indicate a diagnosis of congenital absence of right thigh and lower leg with foot present.
Congenital absence of the right thigh and lower leg with foot present is a specific limb reduction defect characterized by the complete absence of the femur and tibia in the right leg, while the foot remains intact. This condition is classified under congenital malformations of the musculoskeletal system and can occur as an isolated anomaly or as part of a syndrome. Limb reduction defects can arise from various factors, including genetic mutations, environmental influences, or vascular disruptions during fetal development. The absence of the thigh and lower leg can significantly impact mobility and function, necessitating early intervention and multidisciplinary care, including orthopedic evaluation, physical therapy, and possibly surgical interventions to optimize function and appearance. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking epidemiological data related to congenital anomalies.
Documentation should include detailed descriptions of the limb absence, any associated conditions, and the impact on the child's development and mobility.
Common scenarios include initial evaluations of newborns with limb reduction defects, follow-up visits for orthopedic assessments, and physical therapy sessions.
Consideration must be given to the child's growth and development, as well as the psychosocial aspects of living with a congenital limb deficiency.
Genetic counseling notes should document any family history of congenital anomalies, results of genetic testing, and discussions regarding recurrence risks.
Scenarios may include genetic evaluations for syndromic presentations of limb reduction defects and discussions about potential genetic syndromes.
Geneticists must consider the possibility of chromosomal abnormalities that may be associated with limb reduction defects, necessitating thorough genetic evaluation.
Used for surgical interventions related to limb reconstruction or prosthetic fitting.
Detailed operative notes and pre-operative assessments.
Orthopedic specialists must document the rationale for unlisted procedures thoroughly.
Documentation should include a clear diagnosis of congenital absence, details of any associated anomalies, and the impact on the patient's function and mobility. Additionally, any surgical interventions or therapies should be documented to support the coding.
