Unequal limb length (acquired), right fibula
ICD-10 M21.763 is a billable code used to indicate a diagnosis of unequal limb length (acquired), right fibula.
Unequal limb length, particularly in the context of the right fibula, 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, infections, or diseases that affect bone growth and development. In the case of the fibula, it may result from fractures that heal improperly, osteomyelitis, or conditions that lead to bone resorption. Patients may experience functional limitations, gait abnormalities, and compensatory changes in posture. The diagnosis typically involves a thorough clinical evaluation, including physical examination and imaging studies such as X-rays or MRI to assess the extent of the limb length discrepancy. Treatment may involve orthopedic interventions, including limb lengthening procedures or corrective osteotomies, to restore functional symmetry and alleviate associated symptoms. Accurate coding is essential for appropriate management and reimbursement for these interventions.
Detailed surgical notes, imaging results, and pre/post-operative assessments.
Post-traumatic limb length discrepancies, post-surgical complications, and congenital deformities.
Ensure that all relevant surgical history and treatment plans are documented to support coding.
Comprehensive evaluations, functional assessments, and treatment plans.
Rehabilitation following limb lengthening procedures or corrective surgeries.
Document functional limitations and rehabilitation goals to justify the need for therapy.
Used in cases where surgical correction of limb length discrepancy is performed.
Surgical notes detailing the procedure, indications, and post-operative care.
Orthopedic specialists must ensure that the procedure is justified based on the acquired condition.
Congenital unequal limb length is present at birth due to developmental anomalies, while acquired unequal limb length develops later in life due to factors such as trauma, surgery, or disease.
