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v1.0.0
ICD-10 Guide
ICD-10 CodesQ71.811

Q71.811

Billable

Congenital shortening of right upper limb

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

Code Description

ICD-10 Q71.811 is a billable code used to indicate a diagnosis of congenital shortening of right upper limb.

Key Diagnostic Point:

Congenital shortening of the right upper limb is a condition characterized by a reduction in the length of the right arm due to developmental anomalies during fetal growth. This condition can arise from various factors, including genetic mutations, environmental influences, or disruptions in blood flow during critical periods of limb development. Clinically, patients may present with functional limitations, altered biomechanics, and potential psychosocial impacts due to the visible difference in limb length. The condition can be associated with other congenital malformations, such as clubfoot or scoliosis, and may require a multidisciplinary approach for management, including orthopedic interventions, physical therapy, and possibly surgical correction. Early diagnosis and intervention are crucial to optimize functional outcomes and improve the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of limb shortening
  • Potential association with other congenital anomalies
  • Need for detailed clinical documentation to support coding
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of the congenital nature of the condition
  • Failure to note associated congenital anomalies
  • Misclassification of limb shortening as an acquired condition
  • Lack of clarity in the clinical narrative regarding functional limitations

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include detailed descriptions of the limb's functional status, any associated conditions, and treatment plans.

Common Clinical Scenarios

Pediatric patients presenting with limb shortening during routine examinations or referrals for orthopedic evaluation.

Billing Considerations

Consideration of growth patterns and developmental milestones in pediatric patients is essential for accurate coding.

Genetics

Documentation Requirements

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

Common Clinical Scenarios

Patients undergoing genetic counseling for congenital limb anomalies or syndromic presentations.

Billing Considerations

Understanding the genetic basis of limb malformations can aid in accurate coding and management.

Coding Guidelines

Inclusion Criteria

Use Q71.811 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring that the congenital nature of the condition is clearly documented
  • Use additional codes to capture associated conditions or complications as necessary

Exclusion Criteria

Do NOT use Q71.811 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

20610CPT Code

Arthrocentesis, aspiration and/or injection into a major joint or bursa

Clinical Scenario

Used in conjunction with limb shortening for joint evaluation.

Documentation Requirements

Document the indication for the procedure and any findings.

Specialty Considerations

Orthopedic specialists may perform this procedure for diagnostic purposes.

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 ability to capture the complexity of congenital limb anomalies and their associated treatments.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of congenital limb anomalies and their associated treatments.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the ability to capture the complexity of congenital limb anomalies and their associated treatments.

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 importance of documenting associated congenital anomalies?

Documenting associated congenital anomalies is crucial for accurate coding and billing, as it provides a comprehensive view of the patient's condition and supports the medical necessity of treatments and interventions.