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2025 ICD-10-CM code Q71.30

Congenital absence of unspecified hand and finger.

Use the most specific code available. If the affected finger(s) are known, use codes Q71.31-Q71.39. If associated with a syndrome, code the syndrome as well.

Medical necessity for services related to this condition may include diagnostic evaluation, genetic counseling, surgical interventions (e.g., prosthetics, reconstructive surgery), and occupational therapy.

Clinicians should document the specific fingers missing, the affected hand(s), and the degree of absence (complete or partial).Radiographic imaging is recommended to confirm the diagnosis and characterize the bony anomalies. If associated with a syndrome (e.g., VACTERL, Holt-Oram, Fanconi anemia, TAR syndrome, CHARGE syndrome), the underlying syndrome should also be coded.

IMPORTANT More specific codes exist for absence or hypoplasia of individual fingers (Q71.31-Q71.39) and should be used when available.For postaxial limb deficiencies, which involve the fifth finger and possibly the fourth finger and ulna, codes Q71.5 and Q72.6 may be more appropriate. Avoid using the generic Q71, Q72, or Q73 codes for longitudinal limb deficiencies unless a more specific code is not available.

In simple words: This condition is present from birth and involves a missing finger or fingers on one or both hands. The specific fingers that are missing may not be defined by this code.

Congenital absence of unspecified hand and finger. This code represents a complete or partial absence of one or more fingers on either hand, without specifying which finger(s) are missing or the extent of the absence.It also includes cases where the entire hand is absent along with some or all fingers.

Example 1: A newborn infant is examined and found to be missing the index and middle fingers on their left hand., A child presents with a partially formed ring finger on their right hand, with the distal phalanx missing., An individual is born with a complete absence of the right hand and all its fingers.

Medical record documentation should include physical examination findings, imaging results (e.g., radiographs), and any associated syndromes or genetic conditions.

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