Other congenital malformations of lower limb(s), including pelvic girdle
ICD-10 Q74.2 is a billable code used to indicate a diagnosis of other congenital malformations of lower limb(s), including pelvic girdle.
Congenital malformations of the lower limbs and pelvic girdle encompass a variety of structural abnormalities that can affect the bones, muscles, and joints. These conditions may arise from genetic factors, environmental influences, or a combination of both. Common examples include clubfoot (talipes equinovarus), where the foot is twisted out of shape or position, and developmental dysplasia of the hip (DDH), where the hip joint does not properly form in infants and young children. Limb reduction defects, such as amelia or phocomelia, result in the absence or underdevelopment of limbs. Scoliosis, characterized by an abnormal lateral curvature of the spine, can also be associated with lower limb malformations. These conditions often require multidisciplinary management, including orthopedic interventions, physical therapy, and sometimes surgical correction. Accurate coding is essential for appropriate treatment planning and reimbursement.
Detailed growth and developmental assessments, imaging studies, and treatment plans must be documented to support the diagnosis.
Management of clubfoot in infants, hip dysplasia screening in newborns, and limb reduction assessments.
Consideration of family history and genetic factors is crucial in pediatric cases.
Genetic testing results, family pedigree, and counseling notes should be included to support the diagnosis of congenital malformations.
Evaluation of chromosomal abnormalities associated with limb malformations and genetic counseling for affected families.
Understanding the genetic basis of congenital conditions is essential for accurate coding and management.
Used in cases of congenital hip dislocation requiring surgical intervention.
Operative reports and pre-operative assessments must be documented.
Orthopedic specialists should provide detailed surgical notes.
Documentation should include a detailed clinical assessment of the malformation, imaging studies, treatment plans, and any associated conditions. This ensures accurate coding and supports the medical necessity of the services provided.
