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ICD-10 Coding for Limb Length Discrepancy(M21.752, Q73.82)

Complete ICD-10-CM coding and documentation guide for Limb Length Discrepancy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Leg Length DiscrepancyLLD

Related ICD-10 Code Ranges

Complete code families applicable to Limb Length Discrepancy

M21.7Primary Range

Acquired limb length discrepancy

Primary range for acquired discrepancies in limb length, specifying laterality and site.

Congenital limb length discrepancy

Used for congenital discrepancies present at birth, specifying affected limb.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
M21.752Unequal limb length (acquired), left femurUse when there is documented acquired shortening of the left femur.
  • Radiographic confirmation of femoral shortening
  • Physical exam measurements
Q73.82Congenital shortening of right tibiaUse for congenital shortening of the right tibia documented at birth.
  • Pediatric skeletal survey
  • Clinical history of congenital condition

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for limb length discrepancy

Essential facts and insights about Limb Length Discrepancy

The ICD-10 code for acquired limb length discrepancy is M21.7-, specifying laterality and site, such as M21.752 for the left femur.

Primary ICD-10-CM Codes for limb length discrepancy

Unequal limb length (acquired), left femur
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed by imaging and physical exam

documentation Criteria

  • Includes specific measurement and laterality

Applicable To

  • Acquired shortening of left femur

Excludes

Clinical Validation Requirements

  • Radiographic confirmation of femoral shortening
  • Physical exam measurements

Code-Specific Risks

  • Incorrect laterality documentation
  • Lack of measurement details

Coding Notes

  • Ensure laterality and specific site are documented.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Aftercare following orthopedic surgery

Z47.2
Use for follow-up care post limb lengthening surgery.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Pain in knee

M25.56
Use when knee pain is secondary to limb length discrepancy.

Unequal limb length (acquired), right tibia

M21.761
Use for acquired discrepancies, not congenital.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Limb Length Discrepancy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M21.752.

Impact

Clinical: Leads to inaccurate treatment plans., Regulatory: Increases risk of audit failures., Financial: Potential claim denials and reduced payments.

Mitigation Strategy

Always document laterality in clinical notes., Use templates that prompt for laterality.

Impact

Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of claim denials., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Always specify laterality and site in documentation and coding.

Impact

Failure to document laterality can lead to audit failures.

Mitigation Strategy

Implement mandatory fields in EHR for laterality.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Limb Length Discrepancy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Limb Length Discrepancy

Use these documentation templates to ensure complete and accurate documentation for Limb Length Discrepancy. These templates include all required elements for proper coding and billing.

Acquired limb length discrepancy post-surgery

Specialty: Orthopedics

Required Elements

  • Patient history
  • Physical exam findings
  • Imaging results
  • Diagnosis

Example Documentation

**Subjective**: Reports difficulty walking due to left leg shortening. **Objective**: Block test confirms 2 cm discrepancy. **Assessment**: Acquired LLD left femur (M21.752).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has leg length difference.
Good Documentation Example
Patient presents with 2 cm left femoral shortening confirmed by scanogram.
Explanation
The good example includes specific measurement and imaging confirmation.

Need help with ICD-10 coding for Limb Length Discrepancy? Ask your questions below.

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