Congenital absence of right foot and toe(s)
ICD-10 Q72.31 is a billable code used to indicate a diagnosis of congenital absence of right foot and toe(s).
Congenital absence of the right foot and toe(s) is a limb reduction defect characterized by the complete absence of the right foot and associated toes at birth. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of the foot can significantly impact mobility and development, necessitating early intervention and potential prosthetic fitting. The etiology may involve genetic factors, environmental influences, or a combination of both, and it is essential to assess for associated anomalies, particularly in the musculoskeletal system. Children with this condition may also present with other deformities such as clubfoot, hip dysplasia, or scoliosis, which can complicate their clinical management. Accurate diagnosis often involves imaging studies and a thorough clinical evaluation to rule out other congenital conditions. Early referral to pediatric orthopedic specialists is crucial for optimal management and rehabilitation.
Documentation should include detailed descriptions of the absence, any associated deformities, and the impact on the child's development and mobility.
Common scenarios include referrals for orthopedic evaluation, assessments for prosthetic fitting, and multidisciplinary care involving physical therapy.
Consideration of developmental milestones and the need for early intervention services is critical for accurate coding.
Genetic evaluations should document any syndromic associations, family history, and genetic testing results if applicable.
Scenarios may include genetic counseling for families, assessments for syndromic conditions, and discussions regarding recurrence risks.
Understanding the genetic basis of congenital conditions is essential for accurate coding and management.
Used for surgical interventions related to limb absence or reconstruction.
Detailed operative notes and rationale for the procedure.
Orthopedic specialists should provide comprehensive documentation to support the procedure.
Documentation should include a clear clinical description of the absence, any associated congenital anomalies, and the impact on the patient's mobility and development. Imaging studies and referral notes from specialists can also support accurate coding.
