Polycystic kidney, adult type
ICD-10 Q61.2 is a billable code used to indicate a diagnosis of polycystic kidney, adult type.
Polycystic kidney disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. The adult type, also known as autosomal dominant polycystic kidney disease (ADPKD), typically manifests in adulthood, although cysts can begin to form in childhood. This condition leads to enlarged kidneys and can result in hypertension, hematuria, and renal insufficiency. Patients may experience abdominal or flank pain due to the size of the kidneys or complications from cysts. The disease is often associated with mutations in the PKD1 or PKD2 genes, which are crucial for normal kidney function. Diagnosis is typically confirmed through imaging studies such as ultrasound or CT scans, which reveal the presence of cysts. Management may include controlling blood pressure, pain management, and, in advanced cases, dialysis or kidney transplantation. Understanding the genetic basis and familial patterns of this condition is essential for effective patient management and genetic counseling.
Detailed family history, growth and development assessments, and imaging results.
Pediatric patients presenting with abdominal pain, hypertension, or urinary issues.
Consideration of early onset symptoms and the need for genetic counseling in families.
Genetic testing results, family pedigree, and counseling notes.
Patients undergoing genetic counseling for family planning or those with a family history of PKD.
Understanding the inheritance patterns and implications for family members.
Used to evaluate renal cysts in suspected cases of PKD.
Document indications for ultrasound and findings.
Pediatric specialists may require additional documentation for growth assessments.
ADPKD is typically diagnosed in adulthood and is inherited in an autosomal dominant pattern, while ARPKD is diagnosed in infancy or early childhood and is inherited in an autosomal recessive pattern. The clinical manifestations and management strategies differ significantly between the two.
