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2025 ICD-10-CM code Q71.33

Congenital absence of hand and finger, bilateral.

Codes from chapter Q (Congenital malformations, deformations and chromosomal abnormalities) are not for use on maternal records. Ensure proper documentation supports the bilateral nature of the condition.

The medical necessity for treatment and interventions like prosthetics or therapies would stem from the functional limitations imposed by the absence of hands and fingers.Documentation should demonstrate these limitations and the need for intervention to improve the child's quality of life.

Orthopedic surgeons, geneticists, and pediatricians may be involved in the diagnosis, management, and potential surgical correction of this condition.

IMPORTANT Q71.31 (Congenital absence of right hand and finger), Q71.32 (Congenital absence of left hand and finger) may be used if the absence is unilateral.Related codes may include those specifying other congenital limb deficiencies.

In simple words: This code describes a birth defect where a baby is born without one or more fingers and the hand on both arms.

This ICD-10-CM code signifies the congenital absence of one or more fingers and the hand on both upper limbs.It denotes a birth defect where the affected structures are missing entirely, rather than malformed or deformed.

Example 1: A newborn infant is diagnosed with bilateral absence of hands and fingers during a routine physical examination.The parents are referred to a geneticist for genetic testing and counseling., A child with bilateral absence of hands and fingers receives specialized prosthetics to aid in daily functioning.The orthopedic surgeon and prosthetist collaborate on fitting and adjusting the prostheses., An older child with bilateral hand and finger absence requires ongoing physical and occupational therapy to develop adaptive skills for daily activities. The therapy focuses on improving fine motor skills and overall independence.

Prenatal ultrasound findings (if available), physical examination notes, genetic testing reports, and any surgical or therapeutic interventions should be well-documented.

** This code should be used when both hands and fingers are congenitally absent.Specificity regarding which fingers are missing is not required, but additional details can be documented in the clinical record.

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