Congen absence of upper arm and forearm w hand present, bi

This code signifies a birth defect where both upper arms and forearms are completely missing, but the hands are present and attached directly to the shoulder or trunk. It represents a severe form of congenital limb deficiency affecting both sides of the body.

Use this code when documentation clearly indicates bilateral congenital absence of the humerus and radius/ulna, with the presence of hands. This applies to newborns or individuals diagnosed with this specific bilateral upper limb malformation. Supporting documentation would include genetic reports, physical examination findings, and imaging studies.

• Ensure documentation specifies "bilateral" involvement; otherwise, a unilateral code would be more appropriate.
• Verify that the hands are explicitly stated as "present" to differentiate from complete absence of the entire limb.
• Consider sequencing this code as a primary diagnosis when it is the main reason for the encounter, especially for initial evaluations or surgical interventions related to the malformation.