Congenital occlusion of ureterovesical orifice
ICD-10 Q62.12 is a billable code used to indicate a diagnosis of congenital occlusion of ureterovesical orifice.
Congenital occlusion of the ureterovesical orifice refers to a blockage at the junction where the ureter meets the bladder. This condition can lead to significant urinary tract complications, including hydronephrosis, urinary tract infections, and renal impairment. It is often associated with other congenital malformations of the urinary system, such as renal agenesis, where one or both kidneys fail to develop, and bladder exstrophy, a condition where the bladder is exposed outside the body. The occlusion may result from abnormal development during fetal growth, leading to structural anomalies. Diagnosis typically involves imaging studies such as ultrasound or voiding cystourethrogram (VCUG) to assess the urinary tract's anatomy and function. Treatment often requires surgical intervention to relieve the obstruction and restore normal urinary flow. Early detection and management are crucial to prevent long-term renal damage and ensure optimal outcomes for affected infants and children.
Detailed clinical notes on the patient's urinary symptoms, imaging results, and any associated congenital conditions.
Infants presenting with urinary tract infections, hydronephrosis detected on prenatal ultrasound, or abnormal bladder function.
Pediatric coders must ensure that all congenital anomalies are documented and coded accurately to reflect the complexity of the patient's condition.
Genetic testing results, family history of congenital anomalies, and any syndromic associations.
Cases where congenital occlusion is part of a syndrome, such as VACTERL association or other chromosomal abnormalities.
Genetic coders should be aware of the implications of chromosomal abnormalities on the presentation and management of congenital urinary conditions.
Used in cases of ureterovesical obstruction to relieve blockage.
Document indication for stent placement and any imaging studies performed.
Urology specialists should ensure that the procedure is linked to the correct diagnosis.
Common associated conditions include renal agenesis, bladder exstrophy, and other urinary tract malformations. Documentation should reflect any coexisting congenital anomalies for accurate coding.
