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2025 ICD-10-CM code Q72.9

Unspecified reduction defect of the lower limb. This condition involves incomplete development of one or both legs, present from birth.

Use more specific codes within the Q72 category if the type of reduction defect is known. This code should only be used when the specific nature of the lower limb reduction defect cannot be further classified.

Medical necessity for interventions related to this condition must be clearly documented. This should include justification for diagnostic testing, surgical procedures, prosthetic devices, or other therapies based on the individual patient's needs and the potential for functional improvement.

Diagnosing and managing this condition typically involves specialists in orthopedics, genetics, and potentially other areas depending on associated complications. Clinical responsibility includes comprehensive assessment, diagnostic testing, and coordination of care, including surgical interventions if necessary, along with long-term follow-up and support.

IMPORTANT More specific codes exist for different types of lower limb reduction defects (Q72.0-Q72.8), and these should be used if applicable.For instance, Q72.0 represents longitudinal reduction defects of the lower limb, Q72.2 refers to amelia of lower limb(s), while Q72.7 signifies split foot (also known as lobster claw foot). Q72.8 encompasses other specific reduction defects of lower limb(s) not otherwise classified within the earlier subcategories.

In simple words: This is a birth defect where one or both legs haven't fully developed.

A congenital condition characterized by the incomplete or underdeveloped formation of one or both lower limbs. This occurs during the early weeks of pregnancy and can manifest as missing limb segments, shortened bones, or other structural abnormalities. Various factors, including genetic mutations or exposure to certain medications or substances during pregnancy, can contribute to this condition.

Example 1: A newborn is examined and found to have a shortened left leg with missing toes. After further investigation, including genetic testing and imaging studies, a diagnosis of unspecified reduction defect of the lower limb (Q72.9) is made., A fetus is diagnosed prenatally with a significant lower limb abnormality through ultrasound imaging. Following birth, the infant is found to have a complete absence of the right leg below the knee, falling under the category of an unspecified reduction defect (Q72.9)., An individual with a congenital absence of the left foot presents for consultation regarding prosthetic options. The underlying diagnosis is coded as Q72.9, reflecting the unspecified nature of the limb reduction defect.

Thorough documentation is essential for accurate coding. This should include detailed clinical findings from physical examinations, imaging results (such as X-rays, ultrasounds, or MRI scans), genetic testing reports, and operative reports if surgical interventions are performed. Additionally, any documentation of functional limitations, assistive device use, or therapeutic interventions should be included.

** Not to be used on the maternal record. Excludes inborn errors of metabolism (E70-E88).

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