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ICD-10 Guide
ICD-10 CodesM21.731

M21.731

Billable

Unequal limb length (acquired), right ulna

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M21.731 is a billable code used to indicate a diagnosis of unequal limb length (acquired), right ulna.

Key Diagnostic Point:

Unequal limb length, particularly in the context of the right ulna, refers to a condition where one limb is shorter than the other due to acquired factors rather than congenital anomalies. This condition can arise from various causes, including trauma, surgical interventions, or diseases that affect bone growth and development. For instance, fractures that heal improperly or conditions such as osteomyelitis can lead to discrepancies in limb length. The right ulna, being one of the two long bones in the forearm, plays a crucial role in the overall function of the arm, and any acquired deformity can significantly impact a patient's mobility and quality of life. Treatment often involves corrective procedures, which may include osteotomy or limb lengthening techniques. Accurate coding of this condition is essential for appropriate management and reimbursement, as it reflects the complexity of the patient's clinical picture and the interventions required to address the deformity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between congenital and acquired conditions
  • Understanding the specific anatomical location (right ulna)
  • Identifying the underlying cause of the unequal limb length
  • Documenting the extent of the deformity and its functional impact

Audit Risk Factors

  • Inadequate documentation of the acquired nature of the condition
  • Failure to specify the anatomical location accurately
  • Lack of clarity on the underlying cause of the unequal limb length
  • Improper linkage between diagnosis and treatment procedures

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of the injury or condition, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients with post-fracture deformities, surgical corrections, or congenital conditions requiring orthopedic intervention.

Billing Considerations

Ensure that all relevant imaging and surgical notes are included to support the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment goals, and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation for limb length discrepancies or post-surgical recovery.

Billing Considerations

Focus on functional outcomes and the impact of the condition on daily activities.

Coding Guidelines

Inclusion Criteria

Use M21.731 When
  • According to ICD
  • 10 coding guidelines, M21
  • 731 should be used when the unequal limb length is specifically acquired and documented as affecting the right ulna
  • Coders must ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use M21.731 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27500CPT Code

Osteotomy, tibia or fibula

Clinical Scenario

Used in cases where surgical correction of limb length is necessary.

Documentation Requirements

Surgical notes detailing the procedure and rationale for correction.

Specialty Considerations

Orthopedic specialists must document the pre-operative assessment and post-operative outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like unequal limb length, improving the accuracy of patient records and facilitating better treatment planning and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like unequal limb length, improving the accuracy of patient records and facilitating better treatment planning and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between congenital and acquired unequal limb length?

Congenital unequal limb length is present at birth due to genetic or developmental factors, while acquired unequal limb length develops later in life due to trauma, disease, or surgical interventions.