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2025 ICD-10-CM code Q71.2

Congenital absence of both forearm and hand.

Accurate coding requires a precise description of the absence.The code should only be used when both the forearm and hand are completely missing on both sides.If only one forearm/hand is missing or if there are additional anomalies or malformations, additional codes may be required.

The medical necessity for this diagnosis is established based on the documented absence of forearms and hands from birth.This necessitates a comprehensive clinical assessment and management plan to address the functional and psychological implications of this congenital anomaly.

The clinical responsibility for diagnosing and managing this condition typically falls upon a neonatologist, orthopedist, or geneticist, depending on the complexity of the case and the presence of associated anomalies.The physician would conduct a thorough physical examination, order appropriate imaging studies (X-rays, ultrasounds), and potentially genetic testing.

IMPORTANT Related codes include Q71.1 (Congenital absence of upper arm and forearm with hand present), Q71.3 (Congenital absence of hand and finger(s)), and other codes within the Q71 range depending on the specific presentation of the limb deficiency. Avoid using generic codes like Q71, Q72, or Q73 for transverse terminal limb deficiencies.

In simple words: The baby was born without both forearms and hands.

This ICD-10-CM code, Q71.2, signifies the congenital absence of both the forearm and hand.It denotes a birth defect where both structures are missing, not merely underdeveloped or malformed.The absence is complete, and the condition is present from birth.

Example 1: A newborn infant presents with a complete absence of both forearms and hands bilaterally.A thorough physical exam is performed, radiographic images are obtained, and genetic testing is considered to determine the underlying cause of this congenital anomaly., A pregnant woman receives a prenatal diagnosis of bilateral absence of forearms and hands. This necessitates consultation with a geneticist and a team of specialists to discuss options and prepare for the postnatal care needs of the child., A child with congenital absence of both forearms and hands requires ongoing medical care including prosthetic fitting and evaluation, physical and occupational therapy, and psychological support.

Detailed clinical documentation should include prenatal records (if any), complete physical examination findings, radiographic imaging (X-rays or ultrasounds), genetic testing results (if applicable), and a description of any associated congenital anomalies.

** This code is primarily used for newborns and infants. It is important to differentiate this condition from acquired conditions. Thorough documentation including radiographic images is crucial for accurate coding.

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