Congenital shortening of lower limb, bilateral
ICD-10 Q72.813 is a billable code used to indicate a diagnosis of congenital shortening of lower limb, bilateral.
Congenital shortening of the lower limb, bilateral, refers to a condition where both legs are shorter than normal due to developmental anomalies that occur during fetal growth. This condition can arise from various congenital malformations or deformations of the musculoskeletal system, including limb reduction defects, which may be associated with syndromes such as phocomelia or amelia. The etiology can be multifactorial, including genetic factors, environmental influences, or teratogenic exposures during pregnancy. Clinical presentation may vary, with some children exhibiting significant functional impairment while others may have minimal impact on mobility. Diagnosis typically involves physical examination, imaging studies, and sometimes genetic testing to identify underlying syndromic associations. Treatment options may include orthopedic interventions, physical therapy, and in some cases, surgical procedures to improve limb function and appearance. Early intervention is crucial for optimizing developmental outcomes.
Detailed growth and developmental assessments, including physical examination findings and any interventions.
Assessment of a newborn with bilateral limb shortening, follow-up evaluations for developmental milestones.
Consideration of family history and potential genetic counseling needs.
Genetic testing results, family pedigree, and any syndromic associations.
Referral for genetic counseling due to suspected syndromic causes of limb shortening.
Documentation of any chromosomal abnormalities or genetic syndromes that may be associated.
Used in cases where surgical intervention is required for limb lengthening.
Pre-operative assessments, imaging studies, and post-operative follow-up notes.
Orthopedic specialists should provide detailed operative reports.
Documentation should include a detailed clinical assessment of the limb shortening, any associated syndromic conditions, imaging studies, and treatment plans. Clear descriptions of functional limitations and interventions are essential for accurate coding.
