Congenital absence of left upper arm and forearm with hand present
ICD-10 Q71.12 is a billable code used to indicate a diagnosis of congenital absence of left upper arm and forearm with hand present.
Congenital absence of the left upper arm and forearm with the hand present is a specific limb reduction defect characterized by the complete absence of the proximal and distal segments of the left upper limb, 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 arm and forearm can significantly impact the child's functional abilities and may require multidisciplinary management, including physical therapy, occupational therapy, and possibly surgical interventions to optimize function and appearance. The etiology of this condition may involve genetic factors, environmental influences during pregnancy, or a combination of both. Accurate diagnosis typically involves clinical examination and may be supported by imaging studies to assess the extent of limb involvement. Early intervention is crucial for improving outcomes and enhancing the quality of life for affected individuals.
Documentation should include detailed descriptions of the limb absence, functional assessments, and any associated conditions.
Pediatric assessments for limb anomalies, referrals for therapy, and surgical consultations.
Consideration of developmental milestones and functional outcomes in coding.
Genetic evaluations should document any syndromic associations and family history.
Genetic counseling for families with a history of congenital limb defects.
Understanding the genetic basis of limb reduction defects and their implications for recurrence risk.
Used for follow-up visits to assess progress in therapy for limb absence.
Documentation of the patient's condition, treatment plan, and progress.
Pediatric specialists should document developmental assessments.
Documentation should include a detailed description of the limb absence, any associated congenital anomalies, and the patient's treatment plan. It is essential to note the functional status of the hand and any interventions planned or performed.
