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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.3

Q71.3

Billable

Congenital absence of hand and finger

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q71.3 is a billable code used to indicate a diagnosis of congenital absence of hand and finger.

Key Diagnostic Point:

Congenital absence of hand and finger refers to a condition where one or more fingers or the entire hand is absent at birth. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence can result from genetic factors, environmental influences during pregnancy, or a combination of both. It is essential to assess the extent of the absence, as it can significantly impact the child's functional abilities and development. Associated conditions may include limb reduction defects, which can affect the musculoskeletal system, leading to challenges in mobility and dexterity. Early intervention, including physical therapy and occupational therapy, is crucial for optimizing the child's functional outcomes. Genetic counseling may also be indicated, especially if the absence is part of a broader syndrome or if there is a family history of congenital anomalies. Accurate coding is vital for appropriate management and resource allocation in pediatric care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation (isolated vs. syndromic)
  • Need for detailed documentation of associated anomalies
  • Potential for co-occurring congenital conditions
  • Variations in clinical management and intervention strategies

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the extent of absence (e.g., partial vs. complete)
  • Misclassification of congenital absence as an acquired condition
  • Lack of genetic evaluation documentation when indicated

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the extent of absence, functional assessments, and any associated conditions.

Common Clinical Scenarios

A pediatric patient presenting with congenital absence of fingers requiring occupational therapy for adaptive skills.

Billing Considerations

Consideration of developmental milestones and the need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations must be documented.

Common Clinical Scenarios

A child with congenital absence of hand referred for genetic counseling due to family history of limb anomalies.

Billing Considerations

Understanding the genetic basis of congenital anomalies and implications for family planning.

Coding Guidelines

Inclusion Criteria

Use Q71.3 When
  • Follow the ICD
  • CM guidelines for coding congenital conditions, ensuring that all relevant clinical information is captured
  • Document the specific nature of the congenital absence and any associated conditions to support accurate coding

Exclusion Criteria

Do NOT use Q71.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97530CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of a child with congenital absence of hand.

Documentation Requirements

Document the specific exercises and goals for therapy.

Specialty Considerations

Pediatric occupational therapy may require additional documentation for insurance purposes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What documentation is required for coding Q71.3?

Documentation should include a detailed description of the congenital absence, any associated anomalies, family history, and the clinical management plan. This ensures accurate coding and appropriate reimbursement.