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ICD-10 Guide
ICD-10 CodesQ72.32

Q72.32

Billable

Congenital absence of left foot and toe(s)

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

Code Description

ICD-10 Q72.32 is a billable code used to indicate a diagnosis of congenital absence of left foot and toe(s).

Key Diagnostic Point:

Congenital absence of the left foot and toe(s) is a rare congenital malformation characterized by the complete or partial absence of the left foot and associated toes. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital defects. The absence may result from genetic factors, environmental influences during pregnancy, or a combination of both. Clinically, it is essential to assess the extent of the limb deficiency, as it can significantly impact mobility and function. Children with this condition may require orthopedic interventions, prosthetic fitting, and physical therapy to enhance their mobility and quality of life. Early diagnosis and management are crucial for optimal outcomes, and multidisciplinary care involving pediatricians, orthopedic surgeons, and rehabilitation specialists is often necessary. The condition may also be associated with other musculoskeletal anomalies, such as clubfoot or limb reduction defects, necessitating comprehensive evaluation and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation (complete vs. partial absence)
  • Potential association with other congenital anomalies
  • Need for detailed documentation of limb status
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of the extent of limb absence
  • Failure to report associated congenital anomalies
  • Misclassification of congenital vs. acquired conditions
  • Lack of clarity in clinical notes regarding the diagnosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the child's developmental milestones, physical examination findings, and any interventions performed.

Common Clinical Scenarios

Assessment of a newborn with limb deficiency, follow-up visits for prosthetic fitting, and physical therapy evaluations.

Billing Considerations

Consideration of growth and development in children with limb deficiencies, as well as the psychosocial impact on the child and family.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital limb deficiencies and evaluation for syndromic conditions.

Billing Considerations

Understanding the genetic basis of congenital malformations and the implications for family planning and recurrence risk.

Coding Guidelines

Inclusion Criteria

Use Q72.32 When
  • Follow the official ICD
  • CM coding guidelines for congenital malformations, ensuring accurate documentation of the condition's specifics, associated anomalies, and any interventions performed

Exclusion Criteria

Do NOT use Q72.32 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27599CPT Code

Unlisted procedure, leg or ankle

Clinical Scenario

Used for surgical interventions related to limb deficiencies.

Documentation Requirements

Detailed operative notes and justification for the procedure.

Specialty Considerations

Orthopedic surgeons should provide comprehensive documentation to support the necessity of the procedure.

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. This specificity aids in better tracking of congenital anomalies and their management.

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. This specificity aids in better tracking of congenital anomalies and their management.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

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 Q72.32?

Documentation should include a clear diagnosis of congenital absence, details of any associated anomalies, and treatment plans. Clinical notes should specify the extent of the absence and any interventions performed.