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ICD-10 Guide
ICD-10 CodesQ72.41

Q72.41

Billable

Longitudinal reduction defect of right femur

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

Code Description

ICD-10 Q72.41 is a billable code used to indicate a diagnosis of longitudinal reduction defect of right femur.

Key Diagnostic Point:

Longitudinal reduction defect of the right 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 is classified under limb reduction defects, which are a subset of congenital malformations affecting the musculoskeletal system. The defect may vary in severity, ranging from a minor shortening of the femur to a complete absence of the bone. Clinically, this condition can present with associated deformities such as hip dysplasia or scoliosis, and it may impact the child's mobility and overall development. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of the defect and any associated anomalies. Management may include orthopedic interventions, physical therapy, and in some cases, surgical procedures to improve limb function and alignment. Early intervention is crucial for optimizing outcomes and supporting the child's development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the defect
  • Need for detailed imaging documentation
  • Potential for associated congenital anomalies
  • Differentiation from other limb reduction defects

Audit Risk Factors

  • Inadequate documentation of the defect's severity
  • Failure to document associated conditions
  • Misclassification of limb reduction defects
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth assessments, developmental milestones, and any interventions or therapies provided.

Common Clinical Scenarios

Common scenarios include referrals for orthopedic evaluation, assessments for mobility aids, and follow-up visits for growth monitoring.

Billing Considerations

Considerations include the child's age, developmental stage, and the potential need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families, evaluation for syndromic conditions, and discussions about recurrence risks.

Billing Considerations

Considerations include the need for thorough family history and potential genetic syndromes that may present with limb reduction defects.

Coding Guidelines

Inclusion Criteria

Use Q72.41 When
  • Follow official coding guidelines for congenital malformations, ensuring accurate documentation of the defect, associated conditions, and any interventions performed

Exclusion Criteria

Do NOT use Q72.41 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Osteotomy, femur

Clinical Scenario

Used in cases where surgical intervention is required to correct alignment or length discrepancies.

Documentation Requirements

Surgical notes detailing the procedure and indications for surgery.

Specialty Considerations

Orthopedic specialists should provide comprehensive documentation of the surgical approach and expected outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 is the significance of coding Q72.41 accurately?

Accurate coding of Q72.41 is crucial for ensuring appropriate reimbursement, tracking congenital conditions, and facilitating research on limb reduction defects. It also aids in the provision of targeted care and interventions for affected children.