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ICD-10 Guide
ICD-10 CodesQ72.33

Q72.33

Billable

Congenital absence of foot and toe(s), bilateral

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

Code Description

ICD-10 Q72.33 is a billable code used to indicate a diagnosis of congenital absence of foot and toe(s), bilateral.

Key Diagnostic Point:

Congenital absence of foot and toe(s), bilateral, refers to a condition where a child is born without one or both feet and the associated toes. This condition can arise from various developmental anomalies during gestation, often linked to genetic factors or environmental influences. The absence can range from complete loss of the foot and toes to partial absence, affecting the overall functionality and mobility of the child. This condition is classified under congenital malformations of the musculoskeletal system, which may also include associated deformities such as clubfoot, limb reduction defects, and hip dysplasia. Early diagnosis and intervention are crucial for managing mobility and ensuring proper development. Treatment options may include prosthetics, physical therapy, and surgical interventions to improve function and quality of life. The condition may also be associated with other congenital syndromes, necessitating a comprehensive evaluation and multidisciplinary approach to care.

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 multidisciplinary documentation (orthopedic, genetic, etc.)
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of the congenital condition
  • Failure to capture associated anomalies
  • Incorrect coding of laterality (bilateral vs. unilateral)
  • Lack of clarity in treatment plans and follow-up

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, physical examination findings, and treatment plans must be documented, including any associated conditions.

Common Clinical Scenarios

Common scenarios include newborn assessments revealing limb abnormalities, referrals for orthopedic evaluation, and ongoing management of mobility issues.

Billing Considerations

Coders should ensure that all relevant congenital conditions are documented and coded, including any associated syndromes or deformities.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations must be documented to support the diagnosis.

Common Clinical Scenarios

Scenarios may include genetic counseling sessions for families, evaluations for syndromic conditions, and discussions regarding recurrence risks.

Billing Considerations

Coders should be aware of the implications of genetic findings on the coding of congenital conditions and ensure accurate linkage between genetic diagnoses and clinical findings.

Coding Guidelines

Inclusion Criteria

Use Q72.33 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific anatomical site and laterality
  • Documentation must clearly indicate the congenital nature of the condition and any associated anomalies to ensure accurate coding

Exclusion Criteria

Do NOT use Q72.33 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 reconstruction or prosthetic fitting.

Documentation Requirements

Detailed operative notes and pre-operative assessments are required.

Specialty Considerations

Orthopedic specialists should ensure that all relevant findings and procedures are documented.

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 needed to support the use of code Q72.33?

To support the use of code Q72.33, documentation must include a clear diagnosis of congenital absence of foot and toe(s), bilateral, along with any associated conditions. Detailed clinical notes, imaging studies, and treatment plans should be included to substantiate the diagnosis and any interventions performed.