Other reduction defects of upper limb
ICD-10 Q71.89 is a billable code used to indicate a diagnosis of other reduction defects of upper limb.
Q71.89 refers to congenital malformations characterized by the reduction of one or more upper limbs. These defects can manifest as complete or partial absence of the limb, or as underdeveloped limbs (amelia or phocomelia). The etiology of these conditions can be multifactorial, including genetic factors, environmental influences, and teratogenic exposures during pregnancy. Clinically, patients may present with varying degrees of functional impairment, which can affect their ability to perform daily activities. Associated conditions may include syndromes such as Holt-Oram syndrome, which combines upper limb defects with cardiac anomalies. Accurate diagnosis often requires a multidisciplinary approach, including genetic counseling and imaging studies to assess limb structure and function. Management may involve surgical interventions, prosthetics, and physical therapy to enhance mobility and independence.
Detailed pediatric assessments including functional evaluations and developmental milestones.
Assessment of a newborn with limb reduction defects, follow-up evaluations for developmental progress.
Consideration of growth patterns and the impact of limb reduction on overall development.
Genetic testing results, family history, and syndromic associations.
Genetic counseling for families with a history of congenital limb defects, evaluation for syndromic conditions.
Understanding of genetic syndromes that may present with limb reduction defects.
Used for patients with limb reduction defects requiring prosthetic devices.
Document the need for prosthetic fitting and any prior evaluations.
Pediatric specialists should ensure that the prosthetic is age-appropriate and functional.
Documentation should include a detailed description of the limb defect, any associated syndromic conditions, functional assessments, and any relevant prenatal history.
