Congenital lordosis, lumbar region
ICD-10 Q76.426 is a billable code used to indicate a diagnosis of congenital lordosis, lumbar region.
Congenital lordosis of the lumbar region is a structural deformity characterized by an excessive inward curvature of the lumbar spine that is present at birth. This condition can lead to various musculoskeletal complications, including pain, impaired mobility, and potential neurological issues if associated with spinal cord anomalies. Congenital lordosis may occur as an isolated condition or in conjunction with other congenital malformations such as scoliosis, clubfoot, or hip dysplasia. The etiology often involves genetic factors, environmental influences during pregnancy, or a combination of both. Diagnosis typically involves clinical examination and imaging studies, such as X-rays or MRI, to assess the degree of curvature and rule out associated anomalies. Treatment may vary from observation in mild cases to physical therapy, bracing, or surgical intervention in more severe cases. Accurate coding is essential for appropriate management and reimbursement, particularly in pediatric populations where early intervention can significantly impact long-term outcomes.
Detailed growth and development assessments, family history of congenital conditions, and physical examination findings.
A newborn presenting with lumbar lordosis during routine examination or a toddler with developmental delays related to musculoskeletal issues.
Consideration of age-related developmental milestones and the impact of lordosis on mobility and function.
Genetic testing results, family pedigree, and any syndromic associations with congenital lordosis.
Referral for genetic counseling in cases of familial congenital lordosis or associated syndromes.
Understanding the genetic basis of congenital lordosis and its potential links to chromosomal abnormalities.
Used in cases where lordosis is associated with joint pain or inflammation.
Document the reason for the procedure and any imaging studies performed.
Pediatric considerations for sedation and pain management.
Congenital lordosis is present at birth and may be associated with other congenital anomalies, while acquired lordosis develops later in life due to factors such as obesity, poor posture, or spinal injuries. Accurate coding requires clear documentation of the condition's onset and associated factors.
