Congenital lordosis, sacral and sacrococcygeal region
ICD-10 Q76.428 is a billable code used to indicate a diagnosis of congenital lordosis, sacral and sacrococcygeal region.
Congenital lordosis in the sacral and sacrococcygeal region is characterized by an abnormal anterior curvature of the lumbar spine, which can lead to significant postural and functional challenges. This condition may be associated with other congenital malformations of the musculoskeletal system, such as clubfoot, hip dysplasia, and limb reduction defects. The etiology of congenital lordosis can be multifactorial, including genetic predispositions and environmental influences during fetal development. Clinically, patients may present with a noticeable curvature of the spine, which can affect mobility and overall quality of life. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to assess the degree of curvature and rule out associated anomalies. Treatment options may vary from conservative management, including physical therapy and bracing, to surgical interventions in more severe cases. Early identification and intervention are crucial for optimizing outcomes in affected individuals.
Pediatric documentation should include growth parameters, developmental milestones, and any associated musculoskeletal anomalies.
Common scenarios include referrals for physical therapy, orthopedic evaluations, and monitoring for progression of spinal curvature.
Consideration should be given to the child's age, growth patterns, and potential impact on future mobility.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Genetic counseling may be warranted for families with a history of congenital anomalies or when syndromic conditions are suspected.
Genetic factors may play a significant role in the presentation of congenital lordosis, necessitating thorough evaluation.
Used for routine follow-up visits for management of congenital lordosis.
Documentation must include history, examination findings, and treatment plan.
Pediatric specialists may require additional details on growth and development.
Congenital lordosis is present at birth and may be associated with other congenital anomalies, while acquired lordosis develops later due to factors such as injury, obesity, or muscle imbalances. Accurate coding requires clear documentation of the condition's origin.
