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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.92

Q72.92

Billable

Unspecified reduction defect of left lower limb

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

Code Description

ICD-10 Q72.92 is a billable code used to indicate a diagnosis of unspecified reduction defect of left lower limb.

Key Diagnostic Point:

Unspecified reduction defect of the left lower limb refers to a congenital malformation characterized by the partial or complete absence of one or more structures of the left lower limb, which may include the femur, tibia, fibula, or foot. This condition can result from genetic factors, environmental influences, or a combination of both during fetal development. The severity of the defect can vary widely, ranging from minor limb shortening to complete absence of the limb. Associated conditions may include clubfoot, hip dysplasia, or scoliosis, which can further complicate the clinical picture. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to assess the extent of the defect and any associated anomalies. Management may require a multidisciplinary approach, including orthopedic interventions, physical therapy, and possibly surgical procedures to improve function and mobility. Early intervention is crucial for optimizing developmental outcomes in affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of limb reduction defects.
  • Need for comprehensive documentation to support the diagnosis.
  • Potential for associated conditions that may complicate coding.
  • Differentiation from other congenital limb anomalies.

Audit Risk Factors

  • Inadequate documentation of the specific nature of the limb defect.
  • Failure to document associated conditions or anomalies.
  • Inconsistent coding practices across different healthcare providers.
  • Lack of clarity in the clinical notes regarding the severity of the defect.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, including physical examination findings and any imaging results.

Common Clinical Scenarios

Assessment of a newborn with limb reduction defects, follow-up evaluations for developmental milestones, and management of associated conditions.

Billing Considerations

Pediatric coders must ensure that all congenital conditions are documented thoroughly to support the diagnosis and any associated treatments.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Genetic counseling for families with a history of limb reduction defects, evaluation of potential syndromic causes.

Billing Considerations

Genetic coders should be aware of the implications of chromosomal abnormalities that may contribute to limb defects.

Coding Guidelines

Inclusion Criteria

Use Q72.92 When
  • Follow official ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and adherence to coding conventions for congenital conditions

Exclusion Criteria

Do NOT use Q72.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Amputation, leg, through tibia and fibula.

Clinical Scenario

Used in cases where limb reduction defects require surgical intervention.

Documentation Requirements

Detailed surgical notes and pre-operative assessments.

Specialty Considerations

Orthopedic specialists must document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage congenital limb defects effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage congenital limb defects effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage congenital limb defects effectively.

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 difference between Q72.92 and other limb reduction defect codes?

Q72.92 is used for unspecified reduction defects of the left lower limb, while other codes specify the nature and extent of the defect, such as complete absence or specific deformities like clubfoot.