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ICD-10 Guide
ICD-10 CodesQ72.93

Q72.93

Billable

Unspecified reduction defect of lower limb, bilateral

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

Code Description

ICD-10 Q72.93 is a billable code used to indicate a diagnosis of unspecified reduction defect of lower limb, bilateral.

Key Diagnostic Point:

Unspecified reduction defect of the lower limb, bilateral, refers to a congenital malformation characterized by the partial or complete absence of one or more structures of the lower limbs. This condition can manifest as limb shortening, absence of bones, or underdeveloped muscles and soft tissues. The etiology of these defects can be multifactorial, including genetic predispositions, environmental factors, or teratogenic influences during pregnancy. Clinically, children may present with varying degrees of functional impairment, which can affect mobility and overall development. Early diagnosis and intervention are crucial for optimizing outcomes, including surgical correction, physical therapy, and the use of assistive devices. The bilateral nature of the defect often complicates treatment and rehabilitation, necessitating a multidisciplinary approach involving pediatricians, orthopedic surgeons, and rehabilitation specialists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of limb reduction defects.
  • Need for detailed documentation of limb measurements and functional assessments.
  • Potential for coexisting congenital anomalies requiring additional coding.
  • Differentiation from other similar congenital conditions such as clubfoot or hip dysplasia.

Audit Risk Factors

  • Inadequate documentation of the specific nature and extent of limb reduction.
  • Failure to document associated congenital anomalies.
  • Misclassification of the defect type leading to incorrect coding.
  • Lack of clarity in the treatment plan and follow-up care.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and developmental assessments, including physical examinations and functional evaluations.

Common Clinical Scenarios

Assessment of a newborn with bilateral limb reduction defects, follow-up evaluations post-surgery.

Billing Considerations

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

Genetics

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Understanding the genetic basis of limb reduction defects and potential implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q72.93 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's specifics, associated anomalies, and treatment plans

Exclusion Criteria

Do NOT use Q72.93 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Amputation, leg, below knee

Clinical Scenario

Used in cases where limb reduction defects necessitate surgical intervention.

Documentation Requirements

Detailed surgical notes and pre-operative assessments.

Specialty Considerations

Orthopedic specialists must document the rationale for amputation versus reconstruction.

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 is the significance of coding bilateral limb reduction defects?

Accurate coding of bilateral limb reduction defects is crucial for appropriate treatment planning, resource allocation, and understanding the impact on the child's development and mobility.