Q72.23
Congenital absence of both lower leg and foot, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Congenital absence of both lower legs and feet, also known as bilateral congenital limb deficiency, is a birth defect where a baby is born without both lower legs and feet. This condition influences mobility and requires special medical attention and adaptive strategies to support the child's development and quality of life.
Causes & Symptoms
Clinical Causes: Genetic factors or mutations that affect limb development during pregnancy Environmental exposures during pregnancy, such as certain medications, toxins, or infections Disruptions in blood supply or abnormal development of limb buds during fetal growth Unknown or idiopathic causes in some cases
Key Symptoms: Absent or underdeveloped lower legs and feet at birth Lack of limb structures where feet and lower legs should be present Possible associated anomalies in other parts of the body Difficulty with mobility and independence without assistive devices
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily made through physical examination at birth. Imaging tests such as X-rays and ultrasound may be used to confirm the absence of limb bones and assess the extent of the deficiency. Prenatal ultrasounds can sometimes detect limb deficiencies before birth, providing early information for planning.
Treatment Protocols: Prosthetic fitting to enhance mobility and independence Physical therapy to assist with movement, balance, and strength Occupational therapy to support daily living activities Psychological support for emotional well-being and adjustment Surgical interventions, if needed, to improve limb function or address associated anomalies
Clinical Advice & FAQs
Billing Guidance
Is Q72.23 a billable ICD-10 code?
Yes, Q72.23 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report Q72.23?
Clinical documentation must specify the nature of Congenital absence of both lower leg and foot, bilateral and any associated comorbidities for accurate reporting.
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