Lobster-claw hand, unspecified hand
ICD-10 Q71.60 is a billable code used to indicate a diagnosis of lobster-claw hand, unspecified hand.
Lobster-claw hand, also known as split hand/split foot malformation, is a congenital condition characterized by the absence of one or more central digits of the hand, resulting in a claw-like appearance. This condition can affect one or both hands and is often associated with other congenital malformations. The condition arises from disruptions in the embryonic development of the limb buds, typically occurring during the first trimester of pregnancy. Lobster-claw hand can be isolated or part of syndromic presentations, such as in the case of Ectrodactyly-Ectodermal Dysplasia Syndrome. Clinically, patients may present with functional limitations depending on the severity of the malformation and the presence of associated anomalies. Treatment often involves surgical intervention to improve hand function and appearance, along with occupational therapy to enhance the patient's ability to perform daily activities. Accurate coding is essential for proper management and reimbursement, as well as for tracking the incidence of congenital malformations in the population.
Pediatric documentation should include detailed descriptions of the physical examination, functional assessments, and any associated conditions. Growth and developmental milestones should also be documented.
Common scenarios include initial diagnosis during routine pediatric examinations, referrals for surgical evaluation, and follow-up visits for therapy.
Considerations include the age of the child, the impact of the condition on development, and the need for multidisciplinary care.
Genetic documentation should include family history, genetic testing results, and any syndromic associations. Documentation of genetic counseling sessions is also important.
Scenarios include genetic counseling for families with a history of congenital malformations and evaluations for syndromic conditions.
Considerations include the potential for genetic syndromes and the need for comprehensive genetic evaluations.
Used in surgical correction of lobster-claw hand to improve function.
Documentation must include the surgical indication and details of the grafting procedure.
Orthopedic specialists should ensure comprehensive documentation of the surgical approach and expected outcomes.
Accurate coding of lobster-claw hand is crucial for appropriate treatment planning, reimbursement, and tracking the incidence of congenital malformations. It ensures that patients receive the necessary multidisciplinary care and resources.
