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ICD-10 Guide
ICD-10 CodesQ27.2

Q27.2

Billable

Other congenital malformations of renal artery

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q27.2 is a billable code used to indicate a diagnosis of other congenital malformations of renal artery.

Key Diagnostic Point:

Congenital malformations of the renal artery can manifest as various structural abnormalities that affect the blood supply to the kidneys. These malformations may include renal artery stenosis, hypoplasia, or complete absence of the renal artery. Such conditions can lead to significant clinical implications, including hypertension, renal dysfunction, and potential developmental delays in pediatric patients. The renal artery is crucial for delivering oxygenated blood to the kidneys, and any malformation can disrupt normal renal function. Diagnosis typically involves imaging studies such as ultrasound, CT angiography, or MRI, which can reveal the anatomical details of the renal vasculature. Management may require a multidisciplinary approach, including pediatric nephrology and urology, and treatment options can range from medical management of hypertension to surgical interventions in severe cases. Early detection and intervention are vital to prevent long-term complications associated with renal artery malformations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of renal artery malformations
  • Need for detailed imaging reports to support coding
  • Potential for coexisting congenital anomalies
  • Documentation of associated symptoms and complications

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to note associated congenital anomalies
  • Misclassification of congenital versus acquired conditions
  • Lack of clarity in clinical notes regarding symptoms

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Thorough clinical notes detailing the child's growth, development, and any renal-related symptoms are essential. Documentation should include imaging results and any interventions performed.

Common Clinical Scenarios

A pediatric patient presenting with hypertension and renal dysfunction may undergo imaging that reveals renal artery stenosis, necessitating coding for Q27.2.

Billing Considerations

Pediatric coders should be aware of the developmental implications of renal artery malformations and ensure that all relevant clinical information is captured.

Genetics

Documentation Requirements

Genetic counseling notes should include family history, genetic testing results, and any syndromic associations with renal artery malformations.

Common Clinical Scenarios

A child with a known genetic syndrome presenting with renal artery abnormalities may require genetic evaluation and coding for both the syndrome and the renal condition.

Billing Considerations

Genetic coders must ensure that any chromosomal abnormalities associated with renal artery malformations are accurately documented and coded.

Coding Guidelines

Inclusion Criteria

Use Q27.2 When
  • Follow the official ICD
  • CM coding guidelines for congenital conditions, ensuring that all relevant clinical documentation supports the diagnosis
  • Use additional codes to capture associated conditions or complications as necessary

Exclusion Criteria

Do NOT use Q27.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76700CPT Code

Ultrasound, abdomen, real time with image documentation

Clinical Scenario

Used to evaluate renal artery structure in suspected congenital malformations.

Documentation Requirements

Document the indication for the ultrasound and findings related to renal artery anatomy.

Specialty Considerations

Pediatric specialists should ensure that the ultrasound report is comprehensive and includes all relevant findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q27.2 provides a distinct code for renal artery malformations, which was less clearly defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q27.2 provides a distinct code for renal artery malformations, which was less clearly defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. Q27.2 provides a distinct code for renal artery malformations, which was less clearly defined in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms associated with congenital malformations of the renal artery?

Common symptoms may include hypertension, recurrent urinary tract infections, and renal dysfunction. In some cases, patients may be asymptomatic until later in life when complications arise.