Congenital absence of thigh and lower leg with foot present, bilateral
ICD-10 Q72.13 is a billable code used to indicate a diagnosis of congenital absence of thigh and lower leg with foot present, bilateral.
Congenital absence of the thigh and lower leg with the foot present bilaterally is a rare limb reduction defect characterized by the complete absence of the femur and tibia, while the feet remain intact. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of these segments can lead to significant functional limitations and challenges in mobility, necessitating early intervention and possibly surgical management. The etiology may involve genetic factors, environmental influences, or a combination of both. Clinically, affected individuals may present with a range of associated conditions, including clubfoot, hip dysplasia, or scoliosis, which can complicate the overall management and treatment plan. Accurate diagnosis typically involves imaging studies and a thorough clinical evaluation to assess the extent of limb involvement and any associated anomalies. Multidisciplinary care, including orthopedic, rehabilitation, and genetic counseling, is often required to optimize outcomes for affected children.
Pediatric documentation must include detailed descriptions of the child's functional abilities, any associated conditions, and the impact on daily activities.
Common scenarios include assessments for mobility aids, surgical interventions, and rehabilitation plans for children with limb reduction defects.
Coders should be aware of the developmental milestones and how the absence of limbs may affect these milestones.
Genetic documentation should include family history, potential syndromic associations, and results from genetic testing if applicable.
Scenarios may involve genetic counseling for families, discussions about recurrence risks, and management of syndromic presentations.
Consideration of chromosomal abnormalities or syndromes that may present with limb reduction defects is crucial for accurate coding.
Used in cases where surgical intervention is required for limb reduction defects.
Detailed operative notes and pre-operative assessments.
Orthopedic specialists must document the rationale for amputation versus prosthetic fitting.
Documentation must include a clear description of the congenital absence, any associated conditions, and the impact on the patient's mobility and function. Detailed clinical notes from pediatricians and specialists are essential.
