Lobster-claw right hand
ICD-10 Q71.61 is a billable code used to indicate a diagnosis of lobster-claw right 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 or foot, leading to a claw-like appearance. In the case of a lobster-claw right hand, the condition specifically affects the right hand, resulting in a significant reduction in the number of functional digits. This malformation can occur as an isolated defect or as part of a syndrome, such as Ectrodactyly-Ectodermal Dysplasia Syndrome. The condition can impact the functionality of the hand, affecting grasp and manipulation abilities, which are crucial for daily activities. Diagnosis is typically made through physical examination and may be confirmed with imaging studies. Treatment often involves surgical intervention to improve hand function and appearance, along with occupational therapy to enhance the child's ability to perform tasks. The condition is part of a broader category of congenital malformations and deformations of the musculoskeletal system, which includes conditions like clubfoot, hip dysplasia, limb reduction defects, and scoliosis.
Detailed pediatric history, including prenatal factors, family history, and developmental milestones.
Assessment of hand function in infants and children, surgical planning, and post-operative rehabilitation.
Consideration of the child's age and developmental stage when planning interventions.
Genetic testing results, family pedigree, and documentation of any syndromic associations.
Genetic counseling for families with a history of congenital malformations and assessment of recurrence risk.
Understanding the genetic basis of the condition and its implications for family planning.
Used during surgical intervention for lobster-claw hand to improve function.
Detailed operative report and pre-operative assessment.
Pediatric orthopedic specialists should document the rationale for surgery.
Accurate coding of lobster-claw hand is crucial for appropriate treatment planning, reimbursement, and understanding the condition's prevalence and associated syndromes. It ensures that patients receive the necessary care and resources for their specific needs.
