Vesicoureteral-reflux with reflux nephropathy without hydroureter, bilateral
ICD-10 N13.722 is a billable code used to indicate a diagnosis of vesicoureteral-reflux with reflux nephropathy without hydroureter, bilateral.
Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially into the kidneys. This backward flow can lead to recurrent urinary tract infections (UTIs) and can cause damage to the kidneys, known as reflux nephropathy. In cases where reflux nephropathy occurs without hydroureter, the ureters remain normal in size, but the kidneys may suffer from inflammation and scarring due to the recurrent infections. This condition is particularly concerning in children, as it can lead to chronic kidney disease if not managed properly. Symptoms may include flank pain, fever, and signs of UTI. Diagnosis typically involves imaging studies such as a voiding cystourethrogram (VCUG) and renal ultrasound. Management often includes antibiotic prophylaxis to prevent UTIs, and in some cases, surgical intervention may be necessary to correct the anatomical defect causing the reflux.
Detailed history of urinary symptoms, imaging results, and treatment plans.
Children presenting with recurrent UTIs, abdominal pain, or fever.
Consideration of growth and development impacts due to kidney function.
Surgical notes, imaging studies, and follow-up care documentation.
Adults with history of VUR undergoing surgical correction.
Need for detailed surgical documentation and post-operative care.
Used for evaluation of VUR and potential surgical intervention.
Detailed operative report and pre-operative assessment.
Urology specialists must document findings and treatment plans.
The primary cause of vesicoureteral reflux is a congenital defect in the valve mechanism at the junction of the ureters and bladder, which fails to prevent urine from flowing back into the ureters.
