Small kidney, unilateral
ICD-10 N27.0 is a billable code used to indicate a diagnosis of small kidney, unilateral.
Unilateral small kidney, or hypoplastic kidney, is a condition characterized by the presence of a kidney that is smaller than normal in size, affecting only one side of the body. This condition can arise from various developmental anomalies during fetal growth, leading to a reduction in nephron number and overall kidney function. Patients may present with hypertension, proteinuria, or renal insufficiency, although many remain asymptomatic. The condition can be associated with other congenital anomalies or syndromes, such as Turner syndrome or renal agenesis. Diagnosis typically involves imaging studies like ultrasound or CT scans, which can reveal the size discrepancy between the affected kidney and the contralateral kidney. Management may include monitoring renal function, controlling blood pressure, and addressing any complications that arise. In some cases, surgical intervention may be necessary if there are significant functional impairments or associated complications.
Detailed renal function tests, imaging results, and any associated conditions.
Patients with hypertension or proteinuria due to small kidney.
Ensure comprehensive documentation of renal function and any interventions.
Growth and development assessments, family history of renal conditions.
Congenital anomalies in children presenting with small kidney.
Document any syndromic associations and developmental milestones.
Used to evaluate kidney size and function.
Document findings related to kidney size and any abnormalities.
Nephrology specialists should ensure comprehensive imaging reports.
Coding N27.0 accurately reflects the presence of a small kidney, which can have implications for patient management, monitoring, and treatment decisions.
