Renal dysplasia
ICD-10 Q61.4 is a billable code used to indicate a diagnosis of renal dysplasia.
Renal dysplasia is a congenital malformation characterized by the abnormal development of the kidneys, leading to structural and functional impairments. This condition can manifest as a solitary kidney or bilateral involvement, often associated with other urinary tract anomalies. Renal dysplasia may present with varying degrees of severity, from mild dysfunction to complete renal failure, depending on the extent of the developmental disruption. It is frequently linked to other congenital anomalies, including renal agenesis, where one or both kidneys fail to develop, and polycystic kidney disease, where cysts form within the renal tissue. The condition can also be associated with bladder exstrophy and posterior urethral valves, which complicate urinary function and may require surgical intervention. Diagnosis typically involves imaging studies such as ultrasound or MRI, alongside clinical evaluation. Management strategies may include monitoring renal function, addressing associated anomalies, and preparing for potential renal replacement therapy in severe cases.
Detailed pediatric history, including prenatal factors and family history of congenital conditions.
Infants presenting with failure to thrive, recurrent urinary tract infections, or hypertension due to renal dysplasia.
Pediatric coders must ensure accurate coding of associated anomalies and monitor for changes in renal function over time.
Genetic testing results, family pedigree, and documentation of any syndromic associations.
Cases where renal dysplasia is part of a genetic syndrome, requiring genetic counseling and testing.
Genetic coders should focus on the implications of chromosomal abnormalities that may contribute to renal dysplasia.
Used in cases of end-stage renal disease due to renal dysplasia.
Document the indication for transplant and any prior interventions.
Nephrology and transplant surgery documentation must align with coding.
Renal dysplasia refers to abnormal kidney development, which may result in structural anomalies and impaired function, while renal agenesis is the complete absence of one or both kidneys. Accurate coding requires distinguishing between these conditions based on clinical findings and imaging results.
