Congenital absence of upper arm and forearm with hand present, bilateral
ICD-10 Q71.13 is a billable code used to indicate a diagnosis of congenital absence of upper arm and forearm with hand present, bilateral.
Congenital absence of the upper arm and forearm with the hand present, bilateral, is a rare limb reduction defect characterized by the complete absence of the humerus and radius/ulna in both upper limbs, while the hands remain intact. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The etiology is often multifactorial, including genetic predispositions and environmental factors during pregnancy. Clinically, affected individuals may present with significant functional limitations, impacting their ability to perform daily activities. Early intervention, including prosthetic fitting and occupational therapy, is crucial for improving functional outcomes. The condition may be associated with other musculoskeletal anomalies, such as scoliosis or clubfoot, necessitating a comprehensive evaluation and multidisciplinary management approach. Genetic counseling may be indicated, especially if there is a family history of limb reduction defects or associated syndromes.
Documentation should include detailed descriptions of the limb absence, functional assessments, and any associated conditions.
Pediatric patients presenting with limb absence for evaluation of prosthetic needs or surgical interventions.
Consideration of developmental milestones and the impact of limb absence on growth and function.
Genetic evaluations should document family history, potential syndromic associations, and genetic testing results.
Patients with congenital limb absence undergoing genetic counseling for potential hereditary syndromes.
Assessment of chromosomal abnormalities that may be associated with limb reduction defects.
Used for patients requiring prosthetic fitting and training post limb absence.
Document the type of orthotic device, training provided, and patient progress.
Pediatric specialists should focus on developmental milestones during training.
Documentation should include a detailed clinical description of the limb absence, functional assessments, any associated congenital anomalies, and the treatment plan, including prosthetic fitting and rehabilitation.
