2025 ICD-10-CM code Q68.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Congenital malformations and deformations of the musculoskeletal system Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Congenital deformity of finger(s) and hand, including conditions like clubfinger and spade-like hand.
Modifiers may be applicable depending on the specific procedure or service rendered.Consult the appropriate coding guidelines for details.
Medical necessity for diagnosis and treatment of congenital hand and finger deformities is established by the presence of the deformity, its impact on hand function, and the need for intervention to improve function and prevent complications. This often requires a multidisciplinary approach.
Diagnosis and management of congenital hand and finger deformities in newborns and infants. This may involve physical examination, imaging studies (X-rays), genetic testing, and referral to specialists such as orthopedists, hand surgeons, or geneticists for further evaluation and treatment.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system)
In simple words: This code describes a baby born with a hand or finger that is misshapen. This could include a bent finger (clubfinger) or a hand that looks unusually flat and wide (spade-like hand).
Q68.1, Congenital deformity of finger(s) and hand, encompasses a range of congenital musculoskeletal anomalies affecting the fingers and hand.This includes, but is not limited to, clubfinger (clinodactyly) and spade-like hand. The code is used to classify newborns and infants with these birth defects and should not be applied to maternal records.It excludes reduction defects of limbs (Q71-Q73) and congenital myotonic chondrodystrophy (G71.13).
Example 1: A newborn is diagnosed with bilateral clubbing of the little fingers, requiring early intervention and monitoring for functional impact., An infant presents with a spade-like hand, necessitating comprehensive assessment for associated syndromes and planning for potential surgical correction., A child with a previously diagnosed congenital hand deformity requires regular follow-up appointments to monitor growth and address any functional limitations.
Detailed history of the pregnancy, including prenatal ultrasounds, family history of congenital anomalies, and thorough physical examination findings.Imaging reports (e.g., x-rays) should be included if obtained. Genetic testing results, if performed, should also be documented.
** Accurate coding requires careful review of clinical documentation to ensure the deformity is congenital and to exclude other conditions.The severity of the deformity may influence treatment decisions and the need for specialist referrals.
- Payment Status: Active
- Specialties:Neonatology, Orthopedics, Genetics, Hand Surgery, Plastic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office