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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.62

Q71.62

Billable

Lobster-claw left hand

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

Code Description

ICD-10 Q71.62 is a billable code used to indicate a diagnosis of lobster-claw left hand.

Key Diagnostic Point:

Lobster-claw left hand, also known as syndactyly type IV, is a congenital malformation characterized by the fusion of the fingers, resulting in a claw-like appearance. This condition typically affects the left hand and can vary in severity, with some individuals having partial fusion of the fingers while others may have complete fusion. The malformation arises during embryonic development, often due to genetic factors or environmental influences. Lobster-claw hand can be associated with other congenital anomalies, including limb reduction defects and syndromes such as Poland syndrome. Clinical evaluation often includes a thorough physical examination and imaging studies to assess the extent of the malformation and any associated conditions. Surgical intervention may be considered to improve function and appearance, particularly in cases where the fusion significantly impacts hand function. Accurate coding is essential for proper management and reimbursement, as well as for tracking the prevalence of congenital malformations in pediatric populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential association with other congenital anomalies
  • Need for detailed documentation of hand function and surgical interventions
  • Differentiation from other types of syndactyly and limb malformations

Audit Risk Factors

  • Inadequate documentation of the extent of the malformation
  • Failure to document associated congenital anomalies
  • Incorrect coding of the condition due to similarity with other syndactyly types
  • Lack of clarity in surgical intervention documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed documentation of the child's developmental milestones, hand function, and any associated conditions.

Common Clinical Scenarios

Assessment of hand function in a child with lobster-claw left hand, planning for surgical intervention, and follow-up care.

Billing Considerations

Consideration of the psychosocial impact of congenital hand malformations on the child and family.

Genetics

Documentation Requirements

Family history documentation, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital malformations, evaluation for syndromic associations.

Billing Considerations

Understanding the genetic basis of congenital malformations and implications for future pregnancies.

Coding Guidelines

Inclusion Criteria

Use Q71.62 When
  • Follow official ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition's specifics and any associated anomalies

Exclusion Criteria

Do NOT use Q71.62 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20926CPT Code

Bone graft, any donor area

Clinical Scenario

Used in surgical correction of lobster-claw left hand to enhance bone structure.

Documentation Requirements

Document the need for grafting and the specific procedure performed.

Specialty Considerations

Orthopedic surgeons should ensure detailed operative notes are provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like lobster-claw left hand.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes for conditions like lobster-claw left hand.

Reimbursement & Billing Impact

reimbursement processes for conditions like lobster-claw left hand.

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 lobster-claw left hand accurately?

Accurate coding of lobster-claw left hand is crucial for appropriate treatment planning, reimbursement, and tracking the prevalence of congenital malformations. It ensures that healthcare providers can deliver the best care while maintaining compliance with coding standards.