Congenital megaureter
ICD-10 Q62.2 is a billable code used to indicate a diagnosis of congenital megaureter.
Congenital megaureter is a condition characterized by the abnormal dilation of the ureter, which is the tube that carries urine from the kidney to the bladder. This malformation can lead to urinary obstruction, hydronephrosis, and potential renal impairment if not diagnosed and managed appropriately. Megaureter may occur as an isolated anomaly or in conjunction with other congenital urinary tract malformations such as renal agenesis, bladder exstrophy, or posterior urethral valves. The condition is often diagnosed in infancy or early childhood through imaging studies such as ultrasound or voiding cystourethrogram (VCUG). Treatment typically involves surgical intervention to correct the ureteral dilation and restore normal urinary flow. Early detection and management are crucial to prevent complications such as recurrent urinary tract infections and kidney damage. The condition may also be associated with chromosomal abnormalities, necessitating genetic evaluation in some cases.
Documentation must include detailed clinical findings, imaging results, and any surgical interventions performed. Pediatric growth and development assessments may also be relevant.
Common scenarios include a newborn presenting with hydronephrosis on ultrasound, a child with recurrent urinary tract infections, or a patient undergoing surgical correction of megaureter.
Pediatric coders should be aware of the developmental implications of congenital megaureter and the potential need for multidisciplinary care.
Genetic counseling notes should document any family history of congenital anomalies, results of chromosomal analysis, and recommendations for further genetic testing.
Scenarios may include a child with megaureter being evaluated for syndromic associations or a family history of congenital urinary tract malformations.
Genetic coders should consider the implications of chromosomal abnormalities that may be associated with congenital megaureter, such as those seen in syndromes like Turner syndrome.
Used in cases of congenital megaureter requiring surgical correction.
Surgical notes must detail the procedure performed and any complications.
Pediatric surgeons should ensure that all aspects of the surgery are documented for accurate coding.
Accurate coding of congenital megaureter is crucial for appropriate management, resource allocation, and understanding the epidemiology of congenital urinary tract anomalies. It also impacts reimbursement and quality of care assessments.
