Small kidney, bilateral
ICD-10 N27.1 is a billable code used to indicate a diagnosis of small kidney, bilateral.
Bilateral small kidneys, or renal hypoplasia, is a condition characterized by the underdevelopment of both kidneys, leading to a reduction in kidney size and function. This condition can be congenital or acquired, often associated with ischemic nephropathy, where blood flow to the kidneys is compromised, resulting in tissue damage and impaired renal function. Patients may present with symptoms of chronic kidney disease, including fatigue, fluid retention, and electrolyte imbalances. Diagnosis typically involves imaging studies such as ultrasound or CT scans, which reveal the size and structure of the kidneys. Management may include monitoring renal function, controlling blood pressure, and addressing any underlying causes. In severe cases, patients may require renal replacement therapy. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking the prevalence of kidney disorders in the population.
Detailed renal function tests, imaging results, and patient history.
Patients with chronic kidney disease, hypertension, or electrolyte imbalances.
Ensure documentation reflects the bilateral nature and any associated complications.
Surgical notes, imaging studies, and pathology reports if applicable.
Patients undergoing evaluation for renal masses or obstructive uropathy.
Document any surgical interventions or findings that may impact renal size.
Used to evaluate kidney size and structure in patients suspected of having small kidneys.
Document indications for ultrasound and findings related to kidney size.
Nephrologists and urologists should ensure imaging correlates with clinical findings.
Common causes include congenital anomalies, chronic ischemic conditions, and systemic diseases that affect renal blood flow.
