Congenital coxa vara
ICD-10 Q65.82 is a billable code used to indicate a diagnosis of congenital coxa vara.
Congenital coxa vara is a deformity characterized by an abnormal angle between the femoral neck and the femoral shaft, leading to a varus deformity of the hip. This condition can result from various factors, including genetic predispositions, developmental issues during gestation, or associated congenital syndromes. In pediatric patients, coxa vara may present with symptoms such as limping, hip pain, and limited range of motion. Diagnosis typically involves clinical examination and imaging studies, such as X-rays, to assess the degree of deformity. Treatment options may include observation, physical therapy, or surgical intervention, depending on the severity of the condition and the age of the child. Early detection and management are crucial to prevent long-term complications, including osteoarthritis and impaired mobility. Congenital coxa vara can occur in isolation or as part of broader congenital malformations, necessitating a comprehensive evaluation of the child’s overall health and development.
Pediatric documentation must include growth parameters, developmental milestones, and detailed physical examination findings.
Common scenarios include evaluation of hip pain in a child, assessment of developmental delays, and follow-up after surgical intervention.
Considerations include the child's age, growth patterns, and potential for spontaneous correction of the deformity.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes associated with coxa vara.
Considerations include the need for multidisciplinary evaluation and the potential for genetic syndromes that may present with multiple anomalies.
Used in surgical correction of coxa vara.
Document the indication for surgery and pre-operative assessments.
Orthopedic evaluation is critical for surgical planning.
Congenital coxa vara can be associated with other congenital malformations such as renal agenesis, bladder exstrophy, and various genetic syndromes. It is essential to evaluate for these conditions during diagnosis and treatment planning.
