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v1.0.0
ICD-10 Guide
ICD-10 CodesQ72.892

Q72.892

Billable

Other reduction defects of left lower limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q72.892 is a billable code used to indicate a diagnosis of other reduction defects of left lower limb.

Key Diagnostic Point:

Q72.892 refers to congenital malformations characterized by the incomplete formation or absence of parts of the left lower limb. These defects can manifest as limb reduction, where one or more segments of the limb are underdeveloped or missing. Commonly associated conditions include congenital amputation, fibular hemimelia, and other limb reduction defects. These conditions can significantly impact mobility and function, necessitating early intervention and multidisciplinary management. Clinical evaluation often involves imaging studies to assess the extent of the malformation and to plan for potential surgical interventions or prosthetic fitting. The etiology of these defects may be multifactorial, including genetic predispositions and environmental influences during pregnancy. Accurate coding is essential for appropriate treatment planning and resource allocation in pediatric care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of limb reduction defects
  • Need for precise documentation of limb involvement and associated anomalies
  • Differentiation from other congenital limb conditions
  • Potential for co-occurring congenital anomalies requiring additional codes

Audit Risk Factors

  • Inadequate documentation of the specific limb affected
  • Failure to capture associated congenital anomalies
  • Misclassification of limb reduction severity
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes describing the limb's condition, functional assessments, and treatment plans.

Common Clinical Scenarios

Assessment of a newborn with limb reduction defects, planning for orthopedic interventions, and monitoring growth and development.

Billing Considerations

Consideration of psychosocial impacts on the child and family, as well as the need for multidisciplinary care.

Genetics

Documentation Requirements

Genetic testing results, family history, and any syndromic associations with limb reduction defects.

Common Clinical Scenarios

Genetic counseling for families with a history of congenital limb defects and evaluation for syndromic conditions.

Billing Considerations

Understanding the genetic basis of limb reduction defects and their implications for recurrence risk in future pregnancies.

Coding Guidelines

Inclusion Criteria

Use Q72.892 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding for associated conditions
  • Use additional codes for any related congenital anomalies

Exclusion Criteria

Do NOT use Q72.892 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27599CPT Code

Unlisted procedure, femur

Clinical Scenario

Used for surgical interventions related to limb reduction defects.

Documentation Requirements

Detailed operative notes and pre-operative assessments.

Specialty Considerations

Orthopedic specialists should provide comprehensive documentation of the procedure and its necessity.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital malformations, improving the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    CDC Birth Defects Data

Coding & Billing References

  • •
    CDC Birth Defects Data

Frequently Asked Questions

What is the importance of coding Q72.892 accurately?

Accurate coding of Q72.892 is crucial for ensuring appropriate treatment planning, resource allocation, and tracking of congenital limb reduction defects. It also aids in research and understanding the epidemiology of these conditions.