2025 ICD-10-CM code Q65
Congenital deformities of hip.
Medical necessity for treatment of congenital hip deformities is established by the presence of the deformity itself, confirmed by physical exam and imaging.The goal of treatment is to restore normal hip joint anatomy and function, preventing long-term complications such as pain, arthritis, and impaired mobility.
Diagnosis and management of congenital hip deformities typically fall under the purview of pediatric orthopedists, pediatricians, and/or family medicine physicians.Responsibilities include initial diagnosis, referral to specialists, and ongoing monitoring of the condition.Treatment may involve bracing, physical therapy, or surgery depending on the severity and specific type of hip deformity.
In simple words: This code represents conditions where a baby's hip joint isn't formed correctly at birth.
Congenital deformities of hip encompass a range of malformations affecting the hip joint present at birth. These can include abnormalities in the shape, size, or alignment of the hip socket (acetabulum), the head of the femur (thigh bone), or the surrounding ligaments and muscles.
Example 1: A newborn infant is diagnosed with developmental dysplasia of the hip (DDH) during a routine physical exam.The pediatrician notes asymmetry in leg length and limited abduction (outward movement) of the affected hip. The pediatrician refers to a specialist and the diagnosis is confirmed., A 6-month-old baby presents with a dislocated hip noted by the family practitioner.Imaging studies reveal a complete dislocation of the femoral head from the acetabulum., During a routine newborn checkup, a physician suspects a congenital hip abnormality due to uneven skin folds.Ultrasound imaging confirms the diagnosis of a partial hip dislocation.
Documentation should include physical exam findings, such as limited hip abduction, leg length discrepancy, asymmetry of skin folds, and Ortolani or Barlow test results. Imaging studies (ultrasound, X-ray) confirming the diagnosis should be documented as well.
** This code is a general category code and requires a more specific 4th and 5th character code to fully describe the condition (e.g., Q65.00 for congenital dislocation of unspecified hip, unilateral). iFrameAI product might provide more accurate and up-to-date information related to this code.
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- Specialties:Pediatrics, Pediatric orthopedics, Family medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital