Congenital absence of both forearm and hand
ICD-10 Q71.2 is a billable code used to indicate a diagnosis of congenital absence of both forearm and hand.
Congenital absence of both forearm and hand (Q71.2) refers to a condition where a child is born without the forearms and hands. This condition is classified under congenital malformations of the musculoskeletal system and can occur as an isolated anomaly or as part of a syndrome involving other congenital defects. The absence of these limbs can significantly impact a child's functional abilities, affecting their capacity for self-care, mobility, and social interactions. The etiology of this condition can be multifactorial, including genetic factors, environmental influences during pregnancy, or teratogenic exposures. Diagnosis is typically made at birth through physical examination, and further imaging may be required to assess associated anomalies. Management often involves a multidisciplinary approach, including orthopedic intervention, physical therapy, and occupational therapy to enhance the child's functional independence and quality of life.
Pediatric documentation must include detailed descriptions of limb absence, functional assessments, and any associated conditions. Growth and developmental milestones should also be documented.
Common scenarios include newborn assessments where limb absence is noted, referrals for orthopedic evaluations, and multidisciplinary team meetings to discuss management strategies.
Considerations include the child's age, developmental stage, and the potential need for prosthetics or adaptive devices.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations. Detailed notes on genetic counseling sessions are also necessary.
Scenarios may involve genetic consultations for suspected syndromes, discussions about recurrence risks, and evaluations for associated genetic conditions.
Genetic coders must be aware of the implications of syndromic associations and the need for precise coding to reflect the genetic basis of the condition.
Used for follow-up visits in managing congenital absence of limbs.
Documentation must include the patient's history, examination findings, and management plan.
Pediatricians should focus on developmental assessments and referrals to specialists.
Accurate coding of congenital absence of limbs is crucial for appropriate reimbursement, tracking of congenital conditions, and ensuring that patients receive the necessary multidisciplinary care. It also aids in research and understanding the prevalence and outcomes of congenital malformations.
