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ICD-10 Guide
ICD-10 CodesQ72.893

Q72.893

Billable

Other reduction defects of lower limb, bilateral

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

Code Description

ICD-10 Q72.893 is a billable code used to indicate a diagnosis of other reduction defects of lower limb, bilateral.

Key Diagnostic Point:

Bilateral reduction defects of the lower limb encompass a range of congenital malformations characterized by the underdevelopment or absence of one or more structures in the lower limbs. These defects can manifest as limb shortening, absence of bones, or malformations of the foot and ankle. Commonly associated conditions include congenital limb deficiencies, which may arise from genetic factors, environmental influences, or a combination of both. The clinical presentation can vary significantly, with some patients exhibiting mild discrepancies in limb length while others may have severe deformities requiring surgical intervention. Diagnosis typically involves a thorough physical examination, imaging studies, and sometimes genetic testing to identify underlying chromosomal abnormalities. Management strategies may include orthopedic interventions, physical therapy, and in some cases, prosthetic fitting to enhance mobility and function. Early intervention is crucial to optimize developmental outcomes and improve quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of limb defects
  • Need for comprehensive documentation of associated conditions
  • Potential for overlapping diagnoses with other congenital limb defects
  • Requirement for precise coding based on imaging and clinical findings

Audit Risk Factors

  • Inadequate documentation of the specific type of limb reduction
  • Failure to document associated congenital anomalies
  • Misclassification of the severity of the defect
  • Lack of genetic testing results when applicable

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including physical examination findings and any interventions performed.

Common Clinical Scenarios

A pediatric patient presenting with bilateral limb shortening and requiring orthopedic evaluation for potential surgical correction.

Billing Considerations

Consideration of developmental milestones and the impact of limb reduction on mobility and function.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

A child with bilateral limb reduction defects undergoing genetic counseling to assess for chromosomal abnormalities.

Billing Considerations

Understanding the genetic basis of limb reduction defects and their potential syndromic associations.

Coding Guidelines

Inclusion Criteria

Use Q72.893 When
  • Follow the ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's nature and associated anomalies
  • Use additional codes as necessary to capture any related conditions

Exclusion Criteria

Do NOT use Q72.893 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27570CPT Code

Osteotomy, femur, for limb lengthening

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

Orthopedic specialists must ensure accurate coding of the procedure in relation to the diagnosis.

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 for congenital malformations.

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 for congenital malformations.

Reimbursement & Billing Impact

reimbursement processes for congenital malformations.

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 Q72.893?

Comprehensive documentation should include clinical findings, imaging results, and any associated congenital anomalies. Detailed descriptions of the limb defects and their impact on function are essential for accurate coding.