Congenital shortening of right lower limb
ICD-10 Q72.811 is a billable code used to indicate a diagnosis of congenital shortening of right lower limb.
Congenital shortening of the right lower limb is a condition characterized by a reduction in the length of the right leg due to developmental anomalies during fetal growth. This condition can arise from various factors, including genetic predispositions, environmental influences, or a combination of both. Congenital shortening may be isolated or associated with other congenital malformations such as clubfoot, limb reduction defects, or hip dysplasia. Clinically, affected individuals may present with a noticeable discrepancy in limb length, which can lead to functional impairments, gait abnormalities, and potential psychosocial impacts. Diagnosis typically involves physical examination and imaging studies to assess the degree of shortening and any associated musculoskeletal anomalies. Treatment options may include orthopedic interventions, physical therapy, and in some cases, surgical procedures to correct limb length discrepancies. Early intervention is crucial to optimize functional outcomes and improve quality of life for affected children.
Pediatric documentation should include detailed growth assessments, physical examination findings, and any interventions undertaken. Documentation of family history and prenatal factors may also be relevant.
Common scenarios include a newborn presenting with limb shortening detected during routine examination or a child referred for gait abnormalities.
Coders should be aware of the developmental milestones and the impact of limb shortening on a child's mobility and psychosocial development.
Genetic documentation should include family history, results of genetic testing, and any syndromic associations with limb shortening.
Scenarios may involve genetic counseling for families with a history of congenital limb anomalies or syndromic presentations.
Consideration of chromosomal abnormalities that may be associated with limb shortening is essential for accurate coding.
Used in cases where surgical intervention is required to correct limb length discrepancies.
Documentation should include pre-operative assessments, surgical notes, and post-operative follow-up.
Orthopedic specialists should provide detailed operative reports to support coding.
Documentation should include a detailed physical examination, measurements of limb length, any associated congenital anomalies, treatment plans, and follow-up care. It is essential to note the laterality of the condition and any interventions performed.