Congenital partial dislocation of left hip, unilateral
ICD-10 Q65.32 is a billable code used to indicate a diagnosis of congenital partial dislocation of left hip, unilateral.
Congenital partial dislocation of the left hip, also known as developmental dysplasia of the hip (DDH), is a condition where the hip joint is not properly formed, leading to instability. This condition can manifest as a partial dislocation, where the femoral head is not fully seated in the acetabulum. It is often identified in infancy and can lead to complications such as hip pain, limping, and osteoarthritis if left untreated. Diagnosis typically involves physical examination and imaging studies such as ultrasound or X-rays. Treatment may include bracing, physical therapy, or surgical intervention depending on the severity of the dislocation. Early detection and management are crucial to ensure proper hip development and function. This condition is part of a broader category of congenital malformations that can affect the musculoskeletal system, and it may coexist with other congenital anomalies, including those affecting the urinary system.
Pediatric documentation should include growth parameters, developmental milestones, and any associated conditions. Detailed physical examination findings and imaging results are essential.
Common scenarios include newborn screening for hip dysplasia, follow-up visits for bracing, and surgical consultations for severe cases.
Consideration must be given to the age of the child and the timing of interventions, as early treatment can significantly affect outcomes.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital conditions.
Genetic counseling for families with a history of congenital malformations and evaluation for syndromes that may include hip dysplasia.
Awareness of genetic syndromes that may predispose to musculoskeletal anomalies is crucial for accurate coding.
Used in cases where surgical intervention is required for severe dislocation.
Operative reports detailing the procedure and indications.
Orthopedic documentation must include pre-operative assessments and post-operative follow-up.
Common treatments include the use of a Pavlik harness for infants, physical therapy, and in some cases, surgical intervention such as hip arthroplasty for more severe cases.
