2025 ICD-10-CM code Q77.6
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations, deformations and chromosomal abnormalities - Osteochondrodysplasia with defects of growth of tubular bones and spine Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Chondroectodermal dysplasia, also known as Ellis-van Creveld syndrome, is a rare genetic disorder affecting bone and limb development.
Medical necessity for coding Q77.6 is established by clinical documentation supporting the diagnosis of chondroectodermal dysplasia, including physical findings, diagnostic testing, and/or genetic confirmation. The severity and associated complications may justify further interventions.
Diagnosis and management of chondroectodermal dysplasia require a multidisciplinary approach, often involving geneticists, orthopedists, cardiologists, and dentists.The physician's responsibilities include clinical evaluation, genetic testing (if indicated), assessment of associated complications, and appropriate management and referral.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q77 Osteochondrodysplasia with defects of growth of tubular bones and spine
In simple words: This code describes a rare inherited condition affecting bone and limb growth, often resulting in short limbs and extra fingers or toes.It can also involve problems with teeth, nails, and the heart.
Q77.6, Chondroectodermal dysplasia, encompasses a group of genetic disorders characterized by abnormal development of cartilage and ectodermal structures.Key features include short limbs (often disproportionately short), polydactyly (extra fingers or toes), and abnormalities of the nails, teeth, and heart.The Ellis-van Creveld syndrome is a specific type of chondroectodermal dysplasia.This code excludes mucopolysaccharidosis (E76.0-E76.3) and congenital myotonic chondrodystrophy (G71.13).
Example 1: A newborn presents with polydactyly, short limbs, and a cleft palate. Genetic testing confirms a diagnosis of Ellis-van Creveld syndrome (Q77.6)., A child with a history of chondroectodermal dysplasia is seen for routine follow-up. The physician assesses the child's growth, monitors for cardiac issues, and discusses dental care strategies., An adult with chondroectodermal dysplasia presents with complaints of severe wrist pain. The physician evaluates the patient, orders imaging studies to rule out further complications, and refers the patient to an orthopedic specialist.
Detailed family history, physical examination notes documenting skeletal abnormalities, polydactyly, and other relevant findings (e.g., cardiac defects, dental anomalies).Genetic testing results (if performed). Radiological imaging (e.g., X-rays) to assess bone structure.Consultations with specialists (e.g., cardiologist, orthopedist).
** Given the rarity of chondroectodermal dysplasia, thorough documentation is crucial for accurate coding and reimbursement.Multidisciplinary care is often needed.Accurate diagnosis may require genetic testing.
- Payment Status: Active
- Specialties:Genetics, Orthopedics, Cardiology, Dentistry
- Place of Service:Office, Hospital, Inpatient, Outpatient