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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.53

Q71.53

Billable

Longitudinal reduction defect of ulna, bilateral

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

Code Description

ICD-10 Q71.53 is a billable code used to indicate a diagnosis of longitudinal reduction defect of ulna, bilateral.

Key Diagnostic Point:

Longitudinal reduction defect of the ulna is a congenital malformation characterized by the underdevelopment or absence of the ulna bone in the forearm. When bilateral, both ulnae are affected, leading to significant functional impairment and potential deformities in the wrist and hand. This condition can result in a range of clinical manifestations, including limited range of motion, altered grip strength, and compensatory changes in the radius. Patients may also exhibit associated anomalies, such as clubfoot or scoliosis, due to the interconnected nature of musculoskeletal development. Diagnosis typically involves clinical examination and imaging studies, such as X-rays, to assess the extent of the defect and any associated skeletal abnormalities. Early intervention, including physical therapy and possible surgical correction, is crucial for optimizing functional outcomes and improving quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the defect
  • Need for comprehensive documentation of associated anomalies
  • Potential for co-occurring congenital conditions
  • Variations in treatment approaches and outcomes

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify laterality when applicable
  • Misclassification of the severity of the defect
  • Lack of clarity in treatment plans and outcomes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including physical examination findings and functional limitations.

Common Clinical Scenarios

Assessment of a child with bilateral ulna reduction defects presenting with wrist deformities and functional limitations.

Billing Considerations

Consideration of developmental milestones and the impact of the defect on daily activities.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital conditions, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of limb reduction defects and associated syndromes.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use Q71.53 When
  • Follow official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of laterality and associated conditions
  • Use additional codes to capture any related anomalies or complications

Exclusion Criteria

Do NOT use Q71.53 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

25400CPT Code

Repair of forearm fracture

Clinical Scenario

Used in cases where surgical intervention is necessary to correct deformities associated with ulna reduction defects.

Documentation Requirements

Detailed operative notes and pre-operative assessments.

Specialty Considerations

Orthopedic specialists must document the rationale for surgical intervention.

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. Q71.53 provides a clear distinction for longitudinal reduction defects, facilitating better tracking of treatment outcomes and resource allocation.

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. Q71.53 provides a clear distinction for longitudinal reduction defects, facilitating better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. Q71.53 provides a clear distinction for longitudinal reduction defects, facilitating better tracking of treatment outcomes and resource allocation.

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 is the significance of coding Q71.53 accurately?

Accurate coding of Q71.53 is crucial for ensuring appropriate reimbursement, tracking treatment outcomes, and facilitating research on congenital malformations. It also aids in the identification of associated conditions that may require multidisciplinary management.