Unequal limb length (acquired), unspecified tibia and fibula. M21.769 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M21.769 became effective on October 1, 2018.
M21.762 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M21.762 became effective on October 1, 2021. This is the American ICD-10-CM version of M21.762 - other international versions of ICD-10 M21.762 may differ. acquired absence of limb ( Z89.-)
A girl with a congenital, structural difference in leg lengths is walking in a clinic. The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M21.7.
2018/2019 ICD-10-CM Diagnosis Code Q72.811. Congenital shortening of right lower limb. Q72.811 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
769: Unequal limb length (acquired), unspecified tibia and fibula.
Limb-length discrepancy is a difference in size between the length of both arms or both legs. Small differences in limb length are common. In fact, as many as a third of the population may have a 1 cm or less (less than ½ inch) discrepancy between their right and left legs.
Tape measure. A tape measure is typically used to measure the length of each lower extremity by measuring the distance between the anterior superior iliac spine (ASIS) and the medial malleolus and is referred to as the “direct” clinical method for measuring LLD (Fig. 2).
Legs of two different lengths require children to change their normal posture and walking patterns. Depending on the degree of difference, leg-length disparities can lead to a variety of problems, such as functional scoliosis, and hip, knee, and ankle problems.
There are three types of LLD: structural, functional and environmental. The structural or anatomic type is due to a difference in the actual length of the tibia or femur. This may be of congenital, post-trauma or post-surgery etiology as LLD commonly occurs following hip or knee replacement.
A limb length discrepancy (LLD) is when one arm or leg is longer than the other arm or leg.
Treatment for Functional Leg Length Discrepancy The most common treatment for leg length discrepancy is to put a lift in the shoe of the shorter leg. The lift theoretically evens out the length of the legs, relieving the uneven stress being put on the joints, bones, and soft tissues.
To cause a disability, the inequality must remain uncorrected and involve a limb in daily use. An LLI of 1.5 to 3 cm may cause Osteoarthritis of the Hip of the long leg if LLI is present for a minimum period of 10 years prior to onset of the Osteoarthritis.
A slipped disc that pushes on the nerves and degenerative disk disease are common causes of sciatica. If you have poor biomechanics, such as flat feet (pronation) or Leg Length Discrepancy your sciatic pain may be as a consequence of the way you walk (your gait).
Most of these cases occur in adults, and most can be corrected with only one lengthening, and associated deformity can be treated at the same time. Many of these situations can be treated by the implantable lengthening nail method, though for many cases, the external fixator method is preferred.
Structural discrepancy Structural LLD occurs when either the thigh bone (femur) or the shin bone (tibia) is shorter in one leg than in the other. The condition typically presents at birth, but it can also happen as a child grows.
Most differences in leg length are normal. No one is perfectly symmetrical and a difference of up to 2 cm in adults is typical.
To cause a disability, the inequality must remain uncorrected and involve a limb in daily use. An LLI of 1.5 to 3 cm may cause Osteoarthritis of the Hip of the long leg if LLI is present for a minimum period of 10 years prior to onset of the Osteoarthritis.
Structural LLD occurs when either the thigh bone (femur) or the shin bone (tibia) is shorter in one leg than in the other. The condition typically presents at birth, but it can also happen as a child grows. Some potential causes of structural LLD include: Bone injuries: Bone breaks can slow down bone growth in one leg.
Unequal limb length (acquired) 1 M00-M99#N#2021 ICD-10-CM Range M00-M99#N#Diseases of the musculoskeletal system and connective tissue#N#Note#N#Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition#N#Type 2 Excludes#N#arthropathic psoriasis ( L40.5-)#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#compartment syndrome (traumatic) ( T79.A-)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations, and chromosomal abnormalities ( Q00-Q99)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#Diseases of the musculoskeletal system and connective tissue 2 M20-M25#N#2021 ICD-10-CM Range M20-M25#N#Other joint disorders#N#Type 2 Excludes#N#joints of the spine ( M40 - M54)#N#Other joint disorders 3 M21#N#ICD-10-CM Diagnosis Code M21#N#Other acquired deformities of limbs#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#acquired absence of limb ( Z89.-)#N#congenital absence of limbs ( Q71 - Q73)#N#congenital deformities and malformations of limbs ( Q65 - Q66, Q68 - Q74)#N#Type 2 Excludes#N#acquired deformities of fingers or toes ( M20.-)#N#coxa plana ( M91.2)#N#Other acquired deformities of limbs
The 2022 edition of ICD-10-CM M21.7 became effective on October 1, 2021.
M21.70 is a billable ICD code used to specify a diagnosis of unequal limb length (acquired), unspecified site. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
A girl with a congenital, structural difference in leg lengths is walking in a clinic.
Unequal leg length (also termed leg length inequality, LLI or leg length discrepancy, LLD) is where the legs are either different lengths or appear to be different lengths because of misalignment.
DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses without CC or MCC.
Use a child code to capture more detail. ICD Code M21.7 is a non-billable code.
A girl with a congenital, structural difference in leg lengths is walking in a clinic.
Unequal leg length (also termed leg length inequality, LLI or leg length discrepancy, LLD) is where the legs are either different lengths or appear to be different lengths because of misalignment.
Osteoplasty, femur shortening procedure 27465 since it is performed to correct limb length discrepancy by shortening the longer limb, but the leg length discrepancy diagnoses ICD-10 codes M21.7 and Q72.8 are reported based on the contralateral (shorter) limb.
H60.332 indicates left ear, but the modifier indicates right ear; therefore, the claim line will be denied since the provider should have billed diagnosis H60.331 (Swimmer's ear, right ear) instead.
If the side is not identified in the medical record, then the unspecified code should be assigned. Beginning January 1, 2019 , EmblemHealth will implement two claim edits associated with laterality diagnosis coding.