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ICD-10 Guide
ICD-10 CodesQ72.53

Q72.53

Billable

Longitudinal reduction defect of tibia, bilateral

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

Code Description

ICD-10 Q72.53 is a billable code used to indicate a diagnosis of longitudinal reduction defect of tibia, bilateral.

Key Diagnostic Point:

Longitudinal reduction defect of the tibia is a congenital malformation characterized by the underdevelopment or absence of the tibia, leading to significant limb length discrepancies and functional impairments. In bilateral cases, both tibiae are affected, which can result in severe gait abnormalities and challenges in mobility. This condition is often associated with other congenital anomalies, including clubfoot, limb reduction defects, and scoliosis. The etiology may involve genetic factors, environmental influences, or a combination of both. Diagnosis typically occurs through physical examination and imaging studies, such as X-rays, which reveal the extent of the tibial reduction. Management may include orthopedic interventions, such as bracing or surgical procedures, to improve function and alignment. Early intervention is crucial for optimizing outcomes and facilitating mobility in affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the defect
  • Potential association with other congenital anomalies
  • Need for detailed documentation of physical examination findings
  • Variability in treatment approaches and outcomes

Audit Risk Factors

  • Inadequate documentation of the extent of the defect
  • Failure to document associated congenital anomalies
  • Misclassification of the defect severity
  • Inconsistent coding of treatment procedures

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, physical examination findings, and treatment plans must be documented.

Common Clinical Scenarios

A pediatric patient presents with bilateral tibial reduction defects and associated clubfoot requiring orthopedic intervention.

Billing Considerations

Consideration of developmental milestones and the impact of the defect on mobility and daily activities.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

A child with bilateral tibial reduction defects undergoes genetic counseling to assess for syndromic causes.

Billing Considerations

Understanding the genetic basis of congenital malformations and the implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q72.53 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's severity and any associated anomalies

Exclusion Criteria

Do NOT use Q72.53 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Osteotomy, tibia

Clinical Scenario

Used in surgical correction of tibial deformities.

Documentation Requirements

Surgical notes detailing the procedure and indications.

Specialty Considerations

Orthopedic specialists must document the rationale for surgery.

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 Coding Guidelines

Coding & Billing References

  • •
    ICD-10-CM Coding Guidelines

Frequently Asked Questions

What is the significance of coding Q72.53 accurately?

Accurate coding of Q72.53 is crucial for ensuring appropriate treatment planning, resource allocation, and understanding the epidemiology of congenital limb defects. It also impacts reimbursement and the quality of care provided to affected children.