ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ78.3

Q78.3

Billable

Progressive diaphyseal dysplasia

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

Code Description

ICD-10 Q78.3 is a billable code used to indicate a diagnosis of progressive diaphyseal dysplasia.

Key Diagnostic Point:

Progressive diaphyseal dysplasia (PDD) is a rare genetic disorder characterized by progressive thickening of the diaphysis of long bones, leading to skeletal deformities and potential functional impairment. This condition typically manifests in early childhood and is associated with a range of musculoskeletal anomalies, including limb shortening, joint deformities, and in some cases, scoliosis. The pathophysiology of PDD involves mutations in the genes responsible for bone development and remodeling, which can lead to abnormal ossification patterns. Clinically, patients may present with pain, limited mobility, and an increased risk of fractures due to the abnormal bone structure. Diagnosis is often confirmed through imaging studies, such as X-rays or MRIs, which reveal characteristic changes in bone density and morphology. Genetic testing may also be utilized to identify specific mutations associated with the disorder. Management typically involves a multidisciplinary approach, including orthopedic interventions, physical therapy, and regular monitoring to address the evolving nature of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for comprehensive documentation of skeletal anomalies
  • Potential overlap with other musculoskeletal disorders
  • Requirement for genetic testing results for accurate coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to include genetic testing results
  • Misclassification of severity or type of dysplasia
  • Inconsistent coding across different healthcare providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including physical examinations and imaging results.

Common Clinical Scenarios

A pediatric patient presenting with limb deformities and pain, requiring orthopedic evaluation and management.

Billing Considerations

Ensure accurate recording of all musculoskeletal anomalies and their impact on the child's daily activities.

Genetics

Documentation Requirements

Genetic test results, family history of skeletal disorders, and any relevant genetic counseling notes.

Common Clinical Scenarios

A child with a family history of skeletal dysplasia undergoing genetic testing to confirm diagnosis.

Billing Considerations

Document the specific genetic mutations identified and their implications for treatment and family planning.

Coding Guidelines

Inclusion Criteria

Use Q78.3 When
  • Follow the official ICD
  • CM guidelines for coding congenital conditions, ensuring that all relevant clinical information is documented
  • Use additional codes as necessary to capture associated conditions or complications

Exclusion Criteria

Do NOT use Q78.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits in patients with PDD requiring ongoing management.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Pediatric specialists should ensure comprehensive documentation of growth and development.

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 like PDD, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions like PDD, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics
  • •
    National Organization for Rare Disorders

Coding & Billing References

  • •
    American Academy of Pediatrics
  • •
    National Organization for Rare Disorders

Frequently Asked Questions

What are the key features of progressive diaphyseal dysplasia?

Key features include progressive thickening of long bone diaphyses, skeletal deformities, and potential functional impairment. Diagnosis is confirmed through imaging and genetic testing.