Constitutional tall stature
ICD-10 E34.4 is a billable code used to indicate a diagnosis of constitutional tall stature.
Constitutional tall stature refers to a condition characterized by an unusually tall height that is consistent with familial patterns and does not indicate any underlying pathological condition. This condition is often seen in children and adolescents during periods of rapid growth, particularly during puberty. It is essential to differentiate constitutional tall stature from other causes of increased height, such as endocrine disorders (e.g., growth hormone excess), genetic syndromes, or other growth abnormalities. The diagnosis is typically made through a comprehensive evaluation that includes a detailed medical history, physical examination, and growth pattern analysis. Patients with constitutional tall stature usually have normal growth velocity and bone age, and their height is often within the upper percentiles for their age and sex. The condition is generally benign and does not require treatment unless it leads to psychosocial issues or other complications. Understanding the nuances of this condition is crucial for accurate coding and management.
Growth charts, family history, and physical examination findings.
Evaluation of a child presenting with tall stature during routine check-ups.
Consider psychosocial impacts and the need for counseling if the height causes distress.
Detailed hormonal assessments and growth velocity measurements.
Assessment of tall adolescents to rule out endocrine disorders.
Ensure differentiation from conditions like acromegaly or hyperthyroidism.
Used during routine check-ups for tall stature assessment.
Complete growth charts and family history.
Pediatricians should emphasize psychosocial aspects.
Constitutional tall stature is a benign condition characterized by a familial pattern of height, while pathological tall stature may indicate underlying endocrine disorders or genetic syndromes that require further evaluation.
