Constitutional short stature
ICD-10 E34.31 is a billable code used to indicate a diagnosis of constitutional short stature.
Constitutional short stature is a condition characterized by a height significantly below the average for a child's age and sex, which is not attributable to any underlying medical condition. It is often a result of genetic factors and is typically seen in children who are otherwise healthy and exhibit normal growth patterns during early childhood. This condition is distinguished from pathological short stature, which may be caused by hormonal deficiencies, chronic illnesses, or genetic syndromes. In many cases, children with constitutional short stature will experience a normal growth spurt during puberty, leading to a final adult height that is within the normal range. The diagnosis is primarily clinical, relying on growth charts and family history, and may involve ruling out other causes of short stature, such as growth hormone deficiency or Turner syndrome. The management of constitutional short stature is generally supportive, focusing on monitoring growth and providing reassurance to families.
Detailed growth charts, family history, and physical examination findings.
Routine check-ups for children with short stature, referrals for endocrinology evaluation.
Ensure accurate measurement techniques and consistent follow-up.
Hormonal assessments, imaging studies if indicated, and comprehensive growth evaluations.
Evaluation of children with suspected growth hormone deficiency or other endocrine disorders.
Differentiating between constitutional short stature and endocrine disorders.
Used during routine check-ups for children with short stature.
Complete history and physical examination, including growth measurements.
Pediatricians should ensure accurate growth tracking.
Constitutional short stature is a normal variant of growth characterized by a familial pattern and normal growth velocity, while growth hormone deficiency is a pathological condition requiring medical intervention.
