Congenital absence of left hand and finger
ICD-10 Q71.32 is a billable code used to indicate a diagnosis of congenital absence of left hand and finger.
Congenital absence of the left hand and finger refers to a condition where the left hand and associated fingers are either partially or completely absent at birth. This condition can arise from various developmental anomalies during gestation, often linked to genetic factors or environmental influences. The absence can range from the complete lack of the hand to the presence of a rudimentary structure. It is classified under congenital malformations of the musculoskeletal system, which may also include other limb reduction defects. The condition can significantly impact a child's functional abilities and may require multidisciplinary management, including orthopedic interventions, physical therapy, and occupational therapy to enhance the child's quality of life and functional independence. Early intervention is crucial for optimal development, and families may benefit from genetic counseling to understand potential hereditary implications.
Pediatric documentation should include detailed descriptions of the absence, functional assessments, and any interventions planned or performed.
Common scenarios include initial assessments at birth, follow-up visits for developmental milestones, and referrals for physical therapy.
Considerations include the child's age, developmental stage, and the potential need for adaptive devices.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling sessions for families, discussions of recurrence risks, and management of syndromic conditions.
Considerations include the need for thorough family history and potential implications for siblings.
When surgical intervention is required for congenital absence.
Document the reason for surgery and any pre-operative assessments.
Orthopedic notes should detail the surgical approach and expected outcomes.
Documentation should include a detailed description of the congenital absence, any associated anomalies, and the treatment plan. It is essential to note the functional impact on the child and any referrals for therapy.
