Vesicoureteral-reflux with reflux nephropathy without hydroureter
ICD-10 N13.72 is a billable code used to indicate a diagnosis of vesicoureteral-reflux with reflux nephropathy without hydroureter.
Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially the kidneys. This backward flow can lead to recurrent urinary tract infections (UTIs) and can cause damage to the kidneys, resulting in reflux nephropathy. In cases where VUR is present without hydroureter, the ureters are not dilated, but the kidneys may still be affected. Reflux nephropathy can lead to pyelonephritis, which is an infection of the kidney, and interstitial nephritis, characterized by inflammation of the kidney's interstitial tissue. Patients may present with symptoms such as flank pain, fever, and dysuria. Chronic VUR can also lead to renal scarring and hypertension. Management often includes antibiotic prophylaxis to prevent UTIs, and in some cases, surgical intervention may be necessary to correct the reflux. It is crucial for healthcare providers to monitor renal function and manage any complications that arise from this condition.
Detailed history of urinary tract infections, growth parameters, and renal imaging results.
Children presenting with recurrent UTIs and abnormal renal ultrasound findings.
Consideration of age-related factors in treatment and monitoring.
Comprehensive renal function tests, imaging studies, and treatment plans.
Adults with chronic kidney disease secondary to reflux nephropathy.
Monitoring for hypertension and renal scarring.
Used in surgical correction of severe VUR.
Operative report detailing the procedure and indications.
Pediatric urology may be involved in the surgical management.
Coding N13.72 accurately reflects the patient's condition of vesicoureteral reflux with reflux nephropathy, which is crucial for appropriate management and treatment planning. It also helps in tracking the prevalence and outcomes of this condition in clinical practice.
