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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.0

Q71.0

Billable

Congenital complete absence of upper limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q71.0 is a billable code used to indicate a diagnosis of congenital complete absence of upper limb.

Key Diagnostic Point:

Congenital complete absence of an upper limb, classified under Q71.0, refers to a condition where one or both upper limbs are entirely absent at birth. This condition can result from various factors, including genetic mutations, environmental influences during pregnancy, or disruptions in limb development. The absence of an upper limb can significantly impact a child's functional abilities, necessitating early intervention and rehabilitation. Children with this condition may require prosthetic devices, occupational therapy, and specialized educational support to enhance their quality of life and independence. The absence can be unilateral or bilateral, and associated conditions may include other congenital malformations or syndromes. Accurate diagnosis and coding are crucial for appropriate management and resource allocation in pediatric care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in associated congenital conditions
  • Need for precise documentation of limb absence
  • Potential for co-occurring syndromes
  • Differentiation from other limb reduction defects

Audit Risk Factors

  • Inadequate documentation of limb absence
  • Failure to note associated congenital anomalies
  • Misclassification with other limb reduction defects
  • Lack of clarity on the functional impact of the condition

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation must include detailed descriptions of the limb absence, any associated conditions, and the impact on the child's development.

Common Clinical Scenarios

Common scenarios include newborn assessments, referrals for prosthetic fitting, and multidisciplinary team evaluations.

Billing Considerations

Consideration of developmental milestones and the need for early intervention services is critical.

Genetics

Documentation Requirements

Genetic evaluations should document any identified syndromes or chromosomal abnormalities associated with limb absence.

Common Clinical Scenarios

Scenarios may include genetic counseling for families and assessments for syndromic presentations.

Billing Considerations

Understanding the genetic basis of limb malformations can guide management and family planning.

Coding Guidelines

Inclusion Criteria

Use Q71.0 When
  • Follow official ICD
  • 10 guidelines for congenital conditions, ensuring accurate documentation of the absence and any associated anomalies
  • Use additional codes for related conditions as necessary

Exclusion Criteria

Do NOT use Q71.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97799CPT Code

Unlisted physical medicine and rehabilitation service

Clinical Scenario

Used for rehabilitation services related to limb absence.

Documentation Requirements

Detailed documentation of services provided and their necessity.

Specialty Considerations

Pediatric rehabilitation specialists should ensure comprehensive care plans are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and resource allocation for affected children.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and resource allocation for affected children.

Reimbursement & Billing Impact

impact on the child's development and care needs.

Resources

Clinical References

  • •
    CDC Congenital Malformations

Coding & Billing References

  • •
    CDC Congenital Malformations

Frequently Asked Questions

What documentation is required for coding Q71.0?

Documentation must include a clear description of the limb absence, any associated congenital anomalies, and the impact on the child's functional abilities. This ensures accurate coding and appropriate management.