2025 ICD-10-CM code Q71.31
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations - Congenital malformations and deformations of the musculoskeletal system Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Congenital absence of the right hand and fingers.
The medical necessity for coding Q71.31 is established by the presence of congenital absence of the right hand and fingers, which requires diagnosis, management, and often, surgical intervention or prosthetic fitting to ensure optimal function and quality of life.
Diagnosis and management of congenital limb anomalies.This may involve genetic counseling, orthopedic consultation, surgical intervention (if necessary), and ongoing monitoring for potential complications.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q65-Q79 (Congenital malformations and deformations of the musculoskeletal system)
In simple words: The baby was born without a right hand and fingers. This is a condition present from birth.
This code signifies the congenital absence of the right hand and fingers.It indicates a birth defect where the right hand is missing entirely, along with all or some of the fingers. This condition is present at birth and is not acquired later in life.The absence could be partial or complete, affecting the entire hand or only specific parts.Further specification may be necessary depending on the precise nature of the absence.
Example 1: A newborn infant is diagnosed with congenital absence of the right hand and fingers.The condition is noted during the initial physical examination. Genetic testing is ordered to rule out familial syndromes.Orthopedic consultation is sought for long-term management and the possibility of prosthetic fitting., A child presents with a history of congenital absence of the right hand and fingers, seeking assessment and advice regarding prosthetic options. The assessment includes evaluating the child's developmental progress and physical capabilities. The healthcare professional helps determine the most suitable prosthetic limb and initiates the fitting process., A pregnant woman receives prenatal ultrasound results indicating a potential congenital absence of the right hand and fingers in her developing fetus.Genetic counseling and support are provided. Following the birth, a detailed physical examination confirms the diagnosis, and a multidisciplinary team plans for the child's care.
Prenatal ultrasound reports (if applicable), detailed physical examination findings including assessment of limb length and symmetry, genetic testing results (if performed), imaging studies (X-rays, CT scans, MRI if needed),notes on any associated anomalies,developmental assessments, and treatment plans.
** This code is not for use on maternal records.Further sub-classification of the extent of the absence may be appropriate based on the clinical findings.Always ensure precise documentation to support the assigned code.
- Payment Status: Active
- Specialties:Orthopedics, Genetics, Plastic Surgery, Pediatric
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital