Longitudinal reduction defect of femur
ICD-10 Q72.4 is a billable code used to indicate a diagnosis of longitudinal reduction defect of femur.
Longitudinal reduction defect of the femur is a congenital malformation characterized by the underdevelopment or absence of a portion of the femur, which can lead to significant functional impairment and deformity. This condition may present as a shortening of the affected limb, resulting in discrepancies in limb length, which can affect gait and mobility. The defect can occur in isolation or as part of a syndrome involving other congenital anomalies. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of the defect and to rule out associated conditions. Management may include orthopedic interventions, such as limb lengthening procedures or the use of prosthetics, depending on the severity of the defect and the age of the patient. Early intervention is crucial to optimize functional outcomes and improve quality of life for affected individuals.
Documentation should include detailed descriptions of the defect, imaging results, and treatment plans. Growth and developmental assessments are also important.
A pediatric patient presents with a noticeable limb length discrepancy and is referred for orthopedic evaluation. Imaging reveals a longitudinal reduction defect of the femur.
Coders should be aware of the developmental milestones and how the defect may impact them, as well as the need for multidisciplinary care.
Genetic evaluations should include family history, potential syndromic associations, and results of genetic testing if performed.
A child with a longitudinal reduction defect of the femur is evaluated for possible genetic syndromes, leading to genetic counseling and testing.
Coders must consider the implications of genetic syndromes that may present with similar limb defects and ensure accurate coding of any identified syndromes.
Used in cases where limb lengthening is required due to a longitudinal reduction defect.
Pre-operative assessments, surgical notes, and post-operative follow-up.
Orthopedic specialists must document the rationale for surgical intervention.
Accurate coding of Q72.4 is crucial for proper reimbursement, tracking of congenital conditions, and ensuring that patients receive appropriate care and interventions. It also aids in research and understanding of congenital limb defects.
