Q65.4
Congenital partial dislocation of hip, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Congenital partial dislocation of the hip, bilateral, is a condition present at birth where both hips are partially dislocated. It occurs when the hip joint doesn’t form properly, causing the ball of the thigh bone (femoral head) to slide partially out of the socket (acetabulum). This condition can affect mobility and may require medical attention to prevent further complications. Early detection and treatment are important to support optimal hip development and function.
Causes & Symptoms
Clinical Causes: Genetic factors influencing the development of hip structures Hormonal influences during fetal development Positioning in the womb, such as breech presentation Family history of hip dislocation or dysplasia Associated congenital abnormalities or syndromes
Key Symptoms: Unequal leg lengths observed after birth Limited movement or stiffness in the hips A noticeable difference in the position of the hips or thighs Outwardly displaced or protruding hips Gait abnormalities as the child grows older Discomfort or pain in the hip area, especially with activity
Diagnostic & Treatment
Diagnosis Path: Diagnosis is typically made through physical examinations focused on hip stability and positioning, often supplemented by imaging studies. Common diagnostic methods include:
Treatment Protocols: Treatment aims to realign the hip joint and promote normal development to prevent long-term issues. Approaches depend on the child's age and the severity of dislocation, including:
Clinical Advice & FAQs
Billing Guidance
Is Q65.4 a billable ICD-10 code?
Yes, Q65.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report Q65.4?
Clinical documentation must specify the nature of Congenital partial dislocation of hip, bilateral and any associated comorbidities for accurate reporting.
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