Congenital absence of both forearm and hand, right upper limb
ICD-10 Q71.21 is a billable code used to indicate a diagnosis of congenital absence of both forearm and hand, right upper limb.
Congenital absence of both the forearm and hand on the right upper limb is a significant limb reduction defect that occurs during fetal development. This condition is characterized by the complete absence of the forearm and hand, resulting in a functional impairment of the right upper limb. The etiology of this condition can be multifactorial, including genetic factors, environmental influences, or teratogenic exposures during pregnancy. Clinically, affected individuals may exhibit varying degrees of functional limitations, which can impact daily activities and overall quality of life. Early intervention, including physical therapy and occupational therapy, is crucial to maximize the use of the remaining limb and to facilitate adaptive strategies for daily living. Surgical options may also be considered to improve function or cosmetic appearance. Accurate coding of this condition is essential for appropriate management and resource allocation in pediatric care.
Detailed clinical notes describing the extent of limb absence, functional assessments, and any interventions.
Assessment of developmental milestones, referral for physical therapy, and evaluation for prosthetic fitting.
Consideration of psychosocial impacts on the child and family, as well as the need for multidisciplinary care.
Genetic testing results, family history of congenital conditions, and any syndromic associations.
Genetic counseling for families, evaluation for syndromic presentations, and discussions regarding recurrence risks.
Awareness of potential chromosomal abnormalities that may accompany limb reduction defects.
Used for patients requiring adaptive devices due to limb absence.
Document the need for orthotic devices and training.
Pediatric specialists should focus on developmental impacts.
Documentation should include a detailed clinical description of the limb absence, any associated congenital anomalies, and the functional impact on the patient. This ensures accurate coding and appropriate management.
