M89.152
Complete physeal arrest, left proximal femur
Clinical Classification Guidelines
Medical Intelligence & Overview
Complete physeal arrest of the left proximal femur is a condition where the growth plate, or physis, in the upper part of the thigh bone (femur) near the hip joint, ceases to grow. This can result from various injuries or medical conditions that damage the growth plate, potentially leading to limb length discrepancies, deformities, and functional impairments. Recognizing this condition early and understanding its implications are essential for managing affected individuals effectively.
Causes & Symptoms
Clinical Causes: Trauma or fractures involving the growth plate of the proximal femur Infections impacting the growth plate, such as osteomyelitis Exposure to radiation therapy near the hip region Underlying conditions like growth plate tumors or cysts Repeated or severe injuries during childhood or adolescence
Key Symptoms: Limited or absent growth in the affected thigh or hip region Leg length discrepancy, with possible noticeable difference in limb lengths Hip pain or discomfort, particularly during activity Altered gait or limp due to deformity or leg length difference Restricted range of motion in the hip joint Visible deformities or angulations around the hip area
Diagnostic & Treatment
Diagnosis Path: Medical history assessment focusing on past injuries or infections Physical examination of the hip and limb length Imaging studies such as X-rays to visualize growth plate status MRI scans for detailed assessment of cartilage and soft tissue Comparison with the unaffected limb to evaluate discrepancies Monitoring growth over time for children and adolescents
Treatment Protocols: Observation and regular monitoring in cases with minimal impact Surgical interventions to correct deformity or limb length discrepancy Epiphysiodesis, a procedure to halt growth on the unaffected side to balance limb length Limb lengthening procedures using external or internal devices Physical therapy to maintain joint mobility and muscle strength Pain management strategies as needed
Clinical Advice & FAQs
Billing Guidance
Is M89.152 a billable ICD-10 code?
Yes, M89.152 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M89.152?
Clinical documentation must specify the nature of Complete physeal arrest, left proximal femur and any associated comorbidities for accurate reporting.
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