Congenital absence of right upper arm and forearm with hand present
ICD-10 Q71.11 is a billable code used to indicate a diagnosis of congenital absence of right upper arm and forearm with hand present.
Congenital absence of the right upper arm and forearm with the hand present is a specific limb reduction defect characterized by the complete absence of the humerus and radius/ulna in the right arm, while the hand remains intact. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of the upper arm and forearm can significantly impact the child's functional abilities and may require multidisciplinary management, including orthopedic intervention, physical therapy, and occupational therapy to optimize the use of the hand. The etiology of this condition can be multifactorial, including genetic predispositions and environmental factors during pregnancy. Accurate diagnosis often involves imaging studies and a thorough clinical examination to assess the extent of limb involvement and any associated anomalies. Early intervention is crucial for improving outcomes and facilitating adaptive strategies for daily living.
Pediatric documentation should include detailed descriptions of the limb's functional capabilities, any associated conditions, and the impact on the child's development.
Common scenarios include assessments for prosthetic fitting, evaluations for physical therapy, and monitoring developmental milestones.
Considerations include the age of the child, the timing of interventions, and the need for family education regarding adaptive techniques.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations.
Scenarios may involve genetic counseling for families, discussions about recurrence risks, and evaluations for syndromic conditions.
Considerations include the need for comprehensive genetic evaluations to rule out chromosomal abnormalities or syndromes associated with limb reduction.
Used in cases where surgical intervention is required for limb reduction defects.
Document the clinical necessity for amputation and any associated conditions.
Orthopedic specialists should provide detailed operative reports.
Documentation must include a clear description of the limb absence, the presence of the hand, any associated congenital anomalies, and the clinical implications for the child's development and treatment.
