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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.51

Q72.51

Billable

Longitudinal reduction defect of right tibia

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

Code Description

ICD-10 Q72.51 is a billable code used to indicate a diagnosis of longitudinal reduction defect of right tibia.

Key Diagnostic Point:

Longitudinal reduction defect of the right tibia is a congenital malformation characterized by the underdevelopment or absence of a portion of the tibia, which can lead to significant functional impairment and deformity. This condition may present at birth or be diagnosed shortly thereafter. The tibia, being a weight-bearing bone, plays a crucial role in locomotion and stability. Children with this defect may exhibit limb length discrepancies, altered gait patterns, and may require orthopedic interventions such as bracing or surgical correction. Associated conditions may include other limb reduction defects, clubfoot, or scoliosis, necessitating a multidisciplinary approach to management. Early diagnosis and intervention are critical to optimize functional outcomes and improve the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the defect
  • Need for detailed documentation of associated conditions
  • Potential for multiple surgical interventions
  • Differentiation from other limb malformations

Audit Risk Factors

  • Inadequate documentation of the defect's severity
  • Failure to document associated congenital anomalies
  • Misclassification of limb reduction defects
  • Inconsistent coding of surgical interventions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including physical examinations and imaging studies.

Common Clinical Scenarios

Assessment of a newborn with limb deformities, follow-up for orthopedic interventions, and monitoring of growth patterns.

Billing Considerations

Consideration of psychosocial impacts on the child and family, as well as the need for ongoing rehabilitation services.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Genetic counseling for families with a history of limb reduction defects, evaluation for syndromic presentations.

Billing Considerations

Awareness of potential chromosomal abnormalities that may co-occur with limb defects, necessitating comprehensive genetic evaluation.

Coding Guidelines

Inclusion Criteria

Use Q72.51 When
  • Follow ICD
  • CM guidelines for congenital malformations, ensuring accurate documentation of the defect's specifics and any associated conditions
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use Q72.51 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Osteotomy, tibia

Clinical Scenario

Used in cases where surgical correction of the tibial defect is necessary.

Documentation Requirements

Pre-operative assessments, surgical notes, and post-operative follow-up documentation.

Specialty Considerations

Orthopedic specialists should ensure accurate coding of the procedure and any associated complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of congenital conditions, improving the ability to track and analyze data related to longitudinal reduction defects and associated anomalies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of congenital conditions, improving the ability to track and analyze data related to longitudinal reduction defects and associated anomalies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of congenital conditions, improving the ability to track and analyze data related to longitudinal reduction defects and associated anomalies.

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 longitudinal reduction defects accurately?

Accurate coding of longitudinal reduction defects is crucial for appropriate treatment planning, resource allocation, and understanding the epidemiology of congenital conditions. It also ensures that patients receive the necessary interventions and follow-up care, ultimately improving outcomes.