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ICD-10 Guide
ICD-10 CodesQ62.10

Q62.10

Billable

Congenital occlusion of ureter, unspecified

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

Code Description

ICD-10 Q62.10 is a billable code used to indicate a diagnosis of congenital occlusion of ureter, unspecified.

Key Diagnostic Point:

Congenital occlusion of the ureter refers to a blockage that occurs in the ureter, which is the tube that carries urine from the kidney to the bladder. This condition can lead to significant complications, including hydronephrosis, urinary tract infections, and impaired renal function. The occlusion may be due to various factors, including developmental anomalies during fetal growth, such as ureteral atresia or stenosis. In pediatric patients, this condition is often diagnosed through imaging studies such as ultrasound or voiding cystourethrogram. Treatment typically involves surgical intervention to relieve the obstruction and restore normal urinary flow. Early diagnosis and management are crucial to prevent long-term renal damage. Congenital malformations of the urinary system, such as renal agenesis, polycystic kidney disease, bladder exstrophy, and posterior urethral valves, may coexist with ureteral occlusion, complicating the clinical picture and necessitating a comprehensive approach to care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential for coexisting congenital anomalies
  • Need for detailed imaging and diagnostic documentation
  • Variability in treatment approaches and surgical interventions

Audit Risk Factors

  • Inadequate documentation of the specific type of occlusion
  • Failure to document associated congenital anomalies
  • Lack of clarity in imaging reports
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed clinical history, imaging results, and treatment plans. It is essential to document any associated congenital anomalies and the patient's growth and development.

Common Clinical Scenarios

Common scenarios include a newborn presenting with hydronephrosis, a child with recurrent urinary tract infections, or a patient undergoing evaluation for renal function impairment.

Billing Considerations

Coders should be aware of the developmental milestones and potential long-term impacts of urinary tract anomalies on pediatric patients.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital urinary tract anomalies.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital anomalies or syndromes associated with urinary tract malformations.

Billing Considerations

Consideration of chromosomal abnormalities that may be linked to urinary tract malformations is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q62.10 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific anatomical site and nature of the malformation
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use Q62.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

50590CPT Code

Ureteral stent placement

Clinical Scenario

Used in cases of ureteral obstruction to facilitate urine flow.

Documentation Requirements

Document the indication for stent placement and any imaging studies performed.

Specialty Considerations

Urology specialists should provide detailed operative notes.

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. This specificity aids in better tracking of congenital anomalies and their management.

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. This specificity aids in better tracking of congenital anomalies and their management.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of congenital anomalies and their management.

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 congenital anomalies associated with ureteral occlusion?

Common congenital anomalies include renal agenesis, bladder exstrophy, and posterior urethral valves. These conditions can complicate the clinical management of patients with ureteral occlusion and require careful documentation and coding.