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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.811

Q72.811

Billable

Congenital shortening of right lower limb

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

Code Description

ICD-10 Q72.811 is a billable code used to indicate a diagnosis of congenital shortening of right lower limb.

Key Diagnostic Point:

Congenital shortening of the right lower limb is a condition characterized by a reduction in the length of the right leg due to developmental anomalies during fetal growth. This condition can arise from various factors, including genetic predispositions, environmental influences, or a combination of both. Congenital shortening may be isolated or associated with other congenital malformations such as clubfoot, limb reduction defects, or hip dysplasia. Clinically, affected individuals may present with a noticeable discrepancy in limb length, which can lead to functional impairments, gait abnormalities, and potential psychosocial impacts. Diagnosis typically involves physical examination and imaging studies to assess the degree of shortening and any associated musculoskeletal anomalies. Treatment options may include orthopedic interventions, physical therapy, and in some cases, surgical procedures to correct limb length discrepancies. Early intervention is crucial to optimize functional outcomes and improve quality of life for affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of limb shortening
  • Potential association with other congenital anomalies
  • Need for precise documentation of limb measurements
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of limb measurements
  • Failure to note associated congenital conditions
  • Incorrect coding of laterality (right vs. left)
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed growth assessments, physical examination findings, and any interventions undertaken. Documentation of family history and prenatal factors may also be relevant.

Common Clinical Scenarios

Common scenarios include a newborn presenting with limb shortening detected during routine examination or a child referred for gait abnormalities.

Billing Considerations

Coders should be aware of the developmental milestones and the impact of limb shortening on a child's mobility and psychosocial development.

Genetics

Documentation Requirements

Genetic documentation should include family history, results of genetic testing, and any syndromic associations with limb shortening.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital limb anomalies or syndromic presentations.

Billing Considerations

Consideration of chromosomal abnormalities that may be associated with limb shortening is essential for accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q72.811 When
  • Official coding guidelines for congenital conditions emphasize the importance of specificity, including laterality and associated conditions
  • Coders should refer to the ICD
  • CM guidelines for congenital malformations and deformations for accurate coding practices

Exclusion Criteria

Do NOT use Q72.811 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Lengthening of limb

Clinical Scenario

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

Documentation Requirements

Documentation should include pre-operative assessments, surgical notes, and post-operative follow-up.

Specialty Considerations

Orthopedic specialists should provide detailed operative reports to support coding.

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. Q72.811 provides a clear distinction for congenital shortening of the right lower limb, enhancing clinical understanding and management.

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. Q72.811 provides a clear distinction for congenital shortening of the right lower limb, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. Q72.811 provides a clear distinction for congenital shortening of the right lower limb, enhancing clinical understanding and management.

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 documentation is required for coding congenital shortening of the right lower limb?

Documentation should include a detailed physical examination, measurements of limb length, any associated congenital anomalies, treatment plans, and follow-up care. It is essential to note the laterality of the condition and any interventions performed.