Congenital absence of both lower leg and foot
ICD-10 Q72.2 is a billable code used to indicate a diagnosis of congenital absence of both lower leg and foot.
Congenital absence of both lower leg and foot (Q72.2) refers to a condition where a child is born without one or both lower legs and feet. This condition is classified under congenital malformations of the musculoskeletal system and can result from various genetic and environmental factors during fetal development. The absence of lower limbs can significantly impact mobility and overall quality of life, necessitating early intervention and multidisciplinary care. Children with this condition may require prosthetics, physical therapy, and orthopedic interventions to enhance mobility and function. The absence of lower limbs can also be associated with other congenital anomalies, such as clubfoot, hip dysplasia, or limb reduction defects, which may complicate the clinical picture. Accurate coding is essential for appropriate management and resource allocation in pediatric care settings, and it is crucial to document any associated conditions or syndromes that may influence treatment and prognosis.
Documentation should include detailed descriptions of the limb absence, any associated congenital anomalies, and the impact on the child's mobility and development.
Common scenarios include newborn assessments revealing limb absence, referrals for prosthetic fitting, and multidisciplinary team evaluations for mobility enhancement.
Considerations include the age of the child, developmental milestones, and the need for ongoing orthopedic evaluations.
Genetic testing results, family history of congenital anomalies, and any syndromic associations should be documented.
Scenarios may involve genetic counseling for families, evaluations for syndromic conditions, and discussions regarding recurrence risks in future pregnancies.
Genetic coders must be aware of the implications of chromosomal abnormalities that may accompany limb deficiencies.
Used when performing a unique surgical procedure related to limb absence.
Detailed operative notes and justification for the unlisted procedure.
Orthopedic surgeons should provide comprehensive documentation to support the necessity of the procedure.
Documentation must include a clear description of the congenital absence, any associated conditions, and the impact on the child's mobility. Clinical notes should detail the extent of limb absence and any interventions planned or performed.
