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ICD-10 Guide
ICD-10 CodesQ72.6

Q72.6

Billable

Longitudinal reduction defect of fibula

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

Code Description

ICD-10 Q72.6 is a billable code used to indicate a diagnosis of longitudinal reduction defect of fibula.

Key Diagnostic Point:

Longitudinal reduction defect of the fibula is a congenital malformation characterized by the incomplete development or absence of the fibula, which can lead to significant limb deformities and functional impairments. This condition often presents in conjunction with other limb reduction defects, such as clubfoot or limb hypoplasia. The fibula plays a crucial role in the stability and function of the lower limb, and its absence or reduction can result in altered gait mechanics, increased risk of fractures, and the need for orthopedic interventions. Diagnosis typically involves imaging studies such as X-rays or MRI to assess the extent of the defect and any associated anomalies. Treatment may include surgical correction, physical therapy, and the use of orthotic devices to improve mobility and function. Early intervention is essential to optimize outcomes and support the child’s development.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the defect
  • Potential for associated congenital anomalies
  • Need for multidisciplinary care involving orthopedics and rehabilitation
  • Documentation of functional impairments and treatment plans

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to document the functional impact of the defect
  • Incorrect coding of related procedures or treatments
  • Lack of clarity in the treatment plan and follow-up care

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, including functional mobility evaluations and treatment progress notes.

Common Clinical Scenarios

A pediatric patient presenting with limb deformities requiring orthopedic evaluation and potential surgical intervention.

Billing Considerations

Consideration of the child's age and developmental milestones when planning interventions and coding.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Referral for genetic counseling due to the presence of multiple congenital anomalies in a child.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use Q72.6 When
  • Follow official ICD
  • 10 guidelines for coding congenital malformations, ensuring accurate documentation of the defect's nature, associated conditions, and treatment plans
  • Use additional codes as necessary to capture related anomalies

Exclusion Criteria

Do NOT use Q72.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Fibula osteotomy

Clinical Scenario

Used in surgical correction of fibula defects.

Documentation Requirements

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

Specialty Considerations

Orthopedic documentation must detail the surgical approach and rationale.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like longitudinal reduction defects of the fibula.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like longitudinal reduction defects of the fibula.

Reimbursement & Billing Impact

reimbursement processes for conditions like longitudinal reduction defects of the fibula.

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 Q72.6 accurately?

Accurate coding of Q72.6 is crucial for appropriate treatment planning, resource allocation, and understanding the prevalence of congenital limb defects. It also impacts the quality of care provided to affected children and their families.