Other polycystic kidney, infantile type
ICD-10 Q61.19 is a billable code used to indicate a diagnosis of other polycystic kidney, infantile type.
Other polycystic kidney, infantile type, is a congenital malformation characterized by the presence of multiple cysts in the kidneys, leading to renal dysfunction. This condition is often diagnosed in infancy and can result in significant morbidity due to impaired renal function. The cysts are typically fluid-filled and can vary in size, leading to an enlarged kidney. The infantile type of polycystic kidney disease is associated with mutations in genes such as PKHD1, which encodes fibrocystin, a protein involved in kidney development. Clinical manifestations may include hypertension, abdominal distension, and renal failure. Diagnosis is usually confirmed through imaging studies such as ultrasound, which reveals the characteristic cystic changes in the renal parenchyma. Management often involves supportive care, monitoring of renal function, and in severe cases, renal replacement therapy. Early diagnosis and intervention are crucial to improve outcomes in affected infants.
Detailed pediatric history, including prenatal and perinatal factors, family history of renal disease, and growth parameters.
Infants presenting with abdominal distension, hypertension, or renal failure; routine follow-up for renal function monitoring.
Consideration of developmental milestones and potential need for multidisciplinary care involving nephrology and genetics.
Genetic testing results, family pedigree, and any relevant syndromic associations.
Counseling families with a history of polycystic kidney disease; evaluating for syndromic conditions associated with renal anomalies.
Understanding the inheritance patterns and implications for family members, as well as the need for genetic counseling.
Used to evaluate renal structure in infants suspected of having polycystic kidney disease.
Document the indication for the ultrasound and findings related to renal cysts.
Pediatric specialists should ensure that the ultrasound findings are clearly linked to the diagnosis.
Q61.19 refers specifically to other types of infantile polycystic kidney disease, while Q61.0 is designated for autosomal dominant polycystic kidney disease. Accurate coding requires understanding the genetic basis and clinical presentation of each condition.
