Congenital absence of both lower leg and foot, unspecified lower limb
ICD-10 Q72.20 is a billable code used to indicate a diagnosis of congenital absence of both lower leg and foot, unspecified lower limb.
Congenital absence of both lower leg and foot, classified under Q72.20, refers to a condition where a child is born without one or both lower legs and feet. This condition is a type of limb reduction defect, which can occur due to various genetic and environmental factors during fetal development. The absence of lower limbs can significantly impact a child's mobility and overall development, necessitating early intervention and rehabilitation. Associated congenital malformations may include clubfoot, hip dysplasia, and scoliosis, which can complicate the clinical picture. Accurate diagnosis often involves imaging studies and genetic testing to rule out associated syndromes. The management of this condition typically requires a multidisciplinary approach, including orthopedic surgery, physical therapy, and possibly prosthetic fitting, to enhance mobility and quality of life for affected children.
Pediatric documentation must include detailed descriptions of the child's developmental milestones, physical examination findings, and any interventions or therapies initiated.
Common scenarios include newborn assessments revealing limb absence, referrals for orthopedic evaluation, and follow-up visits for prosthetic fitting.
Considerations include the age of the child, the presence of associated congenital anomalies, and the need for ongoing therapy and support.
Genetic documentation should include family history, results of genetic testing, and any syndromic associations identified.
Scenarios may involve genetic counseling sessions for families, discussions of recurrence risks, and management of syndromic conditions.
Considerations include the need for comprehensive genetic evaluation and the implications of findings for family planning.
Used for surgical interventions related to limb absence.
Document the nature of the procedure and its necessity due to congenital absence.
Orthopedic specialists should provide detailed operative reports.
Documentation should include a clear diagnosis of congenital absence, any associated congenital anomalies, and details of interventions or therapies initiated. Genetic testing results and family history may also be relevant.
