Congenital complete absence of unspecified upper limb
ICD-10 Q71.00 is a billable code used to indicate a diagnosis of congenital complete absence of unspecified upper limb.
Congenital complete absence of an upper limb refers to a condition where a child is born without one of their upper limbs, which can include the arm, hand, or both. This condition can occur due to various factors, including genetic mutations, environmental influences during pregnancy, or as part of a syndrome involving other congenital anomalies. The absence can be unilateral or bilateral, and it may be associated with other musculoskeletal deformities such as limb reduction defects, clubfoot, or scoliosis. The absence of an upper limb can significantly impact a child's development, affecting their ability to perform daily activities and requiring multidisciplinary care, including physical therapy and occupational therapy. Early intervention is crucial to help the child adapt and develop functional skills. Accurate coding is essential for appropriate management and resource allocation in pediatric care settings.
Detailed clinical notes describing the absence, associated conditions, and developmental assessments.
A newborn presenting with upper limb absence during routine examination or a child requiring therapy for functional adaptation.
Consideration of the child's age and developmental milestones is crucial for accurate coding and treatment planning.
Genetic testing results, family history, and any syndromic associations must be documented.
Referral for genetic counseling due to suspected syndromic conditions associated with limb absence.
Understanding the genetic basis of congenital limb absence can influence coding and management strategies.
Used in therapy sessions for children with limb absence to improve strength and coordination.
Documentation of therapy goals and progress notes.
Pediatric therapists should document specific adaptations made for the child.
Documentation should include a clear clinical description of the limb absence, any associated congenital anomalies, and details of the child's developmental assessments and therapy needs.
