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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.52

Q72.52

Billable

Longitudinal reduction defect of left tibia

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

Code Description

ICD-10 Q72.52 is a billable code used to indicate a diagnosis of longitudinal reduction defect of left tibia.

Key Diagnostic Point:

Longitudinal reduction defect of the left tibia is a congenital malformation characterized by the underdevelopment or absence of the tibia bone on the left side. This condition can lead to significant functional impairment, affecting the limb's length and stability. Patients may present with a shortened left leg, altered gait patterns, and potential complications such as scoliosis or hip dysplasia due to compensatory mechanisms. The defect can vary in severity, with some individuals experiencing minimal functional limitations while others may require surgical intervention for limb lengthening or stabilization. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of the defect and any associated anomalies. Early intervention and multidisciplinary care are crucial for optimizing outcomes in affected children, including physical therapy and orthopedic management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include growth parameters, developmental milestones, and any associated musculoskeletal anomalies.

Common Clinical Scenarios

Common scenarios include referrals for orthopedic evaluation, assessments for physical therapy, and monitoring for scoliosis development.

Billing Considerations

Considerations include the child's age, growth potential, and the need for ongoing assessments as the child develops.

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, discussions of recurrence risks, and evaluation for syndromic conditions.

Billing Considerations

Considerations include the potential for chromosomal abnormalities that may be associated with limb reduction defects.

Coding Guidelines

Inclusion Criteria

Use Q72.52 When
  • Follow official ICD
  • 10 guidelines for congenital malformations, ensuring accurate documentation of the defect's nature and any associated conditions
  • Use additional codes as necessary to capture co
  • existing anomalies

Exclusion Criteria

Do NOT use Q72.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Osteotomy, tibia

Clinical Scenario

Used for surgical correction of tibial deformities in congenital cases.

Documentation Requirements

Document the indication for surgery and pre-operative assessments.

Specialty Considerations

Orthopedic specialists should provide detailed operative notes.

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.

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.

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 Q72.52 accurately?

Accurate coding of Q72.52 is crucial for appropriate treatment planning, reimbursement, and tracking of congenital conditions. It ensures that patients receive the necessary multidisciplinary care and follow-up, which can significantly impact their long-term outcomes.