Osteochondrodysplasia with defects of growth of tubular bones and spine
Chapter 17:Congenital malformations and chromosomal abnormalities
ICD-10 Q77 is a billable code used to indicate a diagnosis of osteochondrodysplasia with defects of growth of tubular bones and spine.
Osteochondrodysplasia encompasses a group of congenital disorders characterized by abnormal growth and development of cartilage and bone, particularly affecting the tubular bones and spine. This condition can lead to a variety of skeletal deformities, including disproportionate short stature, scoliosis, and limb deformities. Common manifestations include clubfoot, hip dysplasia, and limb reduction defects, which can significantly impact mobility and overall quality of life. The severity of these defects can vary widely among affected individuals, and they may present with associated complications such as respiratory issues due to thoracic deformities. Diagnosis typically involves clinical evaluation, imaging studies, and genetic testing to identify specific mutations or chromosomal abnormalities. Management often requires a multidisciplinary approach, including orthopedic interventions, physical therapy, and genetic counseling.
Pediatric documentation should include growth charts, developmental milestones, and detailed descriptions of physical examinations.
Common scenarios include referrals for orthopedic evaluation of limb deformities or scoliosis in infants and children.
Coders should ensure that all congenital conditions are documented, including any associated syndromes or comorbidities.
Genetic documentation must include family history, results of genetic testing, and any syndromic associations.
Genetic counseling sessions for families with a history of osteochondrodysplasia or related conditions.
Accurate coding requires understanding of genetic terminology and the implications of specific genetic mutations.
Used for managing joint pain in patients with osteochondrodysplasia.
Document the joint involved and the reason for the injection.
Orthopedic specialists should provide detailed notes on the patient's condition and treatment plan.
Common associated conditions include scoliosis, clubfoot, hip dysplasia, and limb reduction defects. Each of these conditions may require specific management and coding considerations.
