Congenital shortening of upper limb, bilateral
ICD-10 Q71.813 is a billable code used to indicate a diagnosis of congenital shortening of upper limb, bilateral.
Congenital shortening of the upper limb, bilateral, refers to a condition where both upper limbs are shorter than normal due to developmental anomalies during fetal growth. This condition can arise from various factors, including genetic syndromes, teratogenic exposures, or vascular disruptions during early pregnancy. Clinically, it may present with functional limitations, affecting the range of motion and the ability to perform daily activities. The severity of the shortening can vary significantly, and associated conditions such as limb reduction defects, clubfoot, or scoliosis may also be present. Diagnosis typically involves a thorough physical examination, imaging studies, and sometimes genetic testing to identify any underlying chromosomal abnormalities. Management may include physical therapy, orthopedic interventions, or surgical procedures to improve function and appearance. Early intervention is crucial for optimizing outcomes in affected children.
Detailed physical examination findings, including measurements of limb length and functional assessments.
Assessment of a newborn with bilateral upper limb shortening, referral for orthopedic evaluation, and planning for physical therapy.
Consideration of developmental milestones and the impact of limb shortening on growth and motor skills.
Genetic testing results, family history of congenital conditions, and any syndromic associations.
Genetic counseling for families with a history of congenital limb malformations and discussions regarding recurrence risks.
Importance of identifying any chromosomal abnormalities that may be associated with the limb shortening.
Used for follow-up visits in pediatric patients with congenital shortening.
Document history, examination findings, and treatment plan.
Pediatric specialists should ensure comprehensive assessments are documented.
Documentation should include a detailed clinical assessment of the limb shortening, any associated congenital anomalies, and results from genetic testing if applicable.
