Congenital dislocation of left hip, unilateral
ICD-10 Q65.02 is a billable code used to indicate a diagnosis of congenital dislocation of left hip, unilateral.
Congenital dislocation of the hip, specifically the left hip, is a condition characterized by the abnormal positioning of the femoral head within the acetabulum at birth. This malformation can result from a variety of factors, including genetic predispositions, mechanical factors during pregnancy, or developmental issues during gestation. The condition may present with limited range of motion, asymmetry in leg length, or a noticeable difference in the position of the knees when the infant is lying down. Early diagnosis is crucial for effective management, which may include physical therapy, bracing, or surgical intervention. The condition is often associated with other congenital malformations, particularly those affecting the musculoskeletal system, and may require a multidisciplinary approach for optimal outcomes. Understanding the implications of congenital dislocation is essential for pediatric care providers, as timely intervention can significantly improve the child's mobility and quality of life.
Documentation must include detailed physical examination findings, imaging results, and treatment plans. Growth and developmental assessments are also critical.
Common scenarios include newborn assessments revealing hip instability, referrals for orthopedic evaluation, and follow-up visits for monitoring treatment efficacy.
Pediatric coders should be aware of the developmental milestones and how they relate to the management of congenital dislocations.
Genetic evaluations may be necessary to identify syndromic associations with congenital dislocation. Family history and genetic testing results should be documented.
Scenarios may include genetic counseling for families with a history of congenital malformations or syndromes associated with hip dislocation.
Genetic coders should consider the implications of chromosomal abnormalities that may predispose to musculoskeletal anomalies.
Used in cases where non-surgical management fails to correct the dislocation.
Operative reports detailing the procedure and pre-operative assessments.
Orthopedic specialists should ensure comprehensive documentation of the surgical approach and post-operative care.
Accurate coding is crucial for ensuring appropriate treatment, tracking outcomes, and facilitating research on congenital conditions. It also impacts reimbursement and resource allocation for affected patients.
