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v1.0.0
ICD-10 Guide
ICD-10 CodesQ77.2

Q77.2

Billable

Short rib syndrome

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

Code Description

ICD-10 Q77.2 is a billable code used to indicate a diagnosis of short rib syndrome.

Key Diagnostic Point:

Short rib syndrome is a rare congenital disorder characterized by a group of skeletal dysplasias that primarily affect the ribs and long bones. This condition leads to a shortened rib cage, which can result in respiratory difficulties due to reduced lung volume. The syndrome is often associated with other skeletal abnormalities, including limb deformities, scoliosis, and clubfoot. Patients may present with a variety of clinical features, including short stature, disproportionate body proportions, and potential neurological involvement. The severity of the condition can vary significantly among affected individuals, with some experiencing mild symptoms while others may have severe complications. Diagnosis is typically made through imaging studies, such as X-rays or MRI, which reveal the characteristic skeletal anomalies. Genetic counseling is often recommended, as some forms of short rib syndrome are inherited in an autosomal recessive manner, and understanding the genetic basis can aid in family planning and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity among patients
  • Need for comprehensive documentation of associated conditions
  • Potential overlap with other skeletal dysplasias
  • Requirement for genetic testing results in some cases

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to capture the severity of respiratory involvement
  • Misclassification with other skeletal dysplasias
  • Lack of genetic testing documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, including height and weight measurements, and any respiratory issues.

Common Clinical Scenarios

Management of a pediatric patient with short rib syndrome presenting with respiratory distress or orthopedic complications.

Billing Considerations

Consideration of multidisciplinary care involving orthopedics, pulmonology, and genetics.

Genetics

Documentation Requirements

Genetic testing results, family history, and counseling notes regarding inheritance patterns.

Common Clinical Scenarios

Genetic counseling for families with a history of short rib syndrome or related skeletal dysplasias.

Billing Considerations

Importance of accurate genetic diagnosis to inform prognosis and management.

Coding Guidelines

Inclusion Criteria

Use Q77.2 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring that all associated conditions are documented and coded appropriately

Exclusion Criteria

Do NOT use Q77.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits in patients with short rib syndrome to monitor growth and respiratory function.

Documentation Requirements

Documentation of clinical findings, treatment plans, and any referrals made.

Specialty Considerations

Pediatricians should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions like short rib syndrome, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions like short rib syndrome, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Coding for Pediatric Care

Coding & Billing References

  • •
    American Academy of Pediatrics - Coding for Pediatric Care

Frequently Asked Questions

What are the common associated conditions with short rib syndrome?

Common associated conditions include scoliosis, clubfoot, limb reduction defects, and respiratory complications due to reduced lung volume. Accurate coding requires documentation of these associated conditions.