Other obstructive defects of renal pelvis and ureter
ICD-10 Q62.39 is a billable code used to indicate a diagnosis of other obstructive defects of renal pelvis and ureter.
Congenital obstructive defects of the renal pelvis and ureter encompass a range of malformations that impede normal urinary flow from the kidneys to the bladder. These defects can lead to significant complications, including hydronephrosis, renal damage, and urinary tract infections. Common conditions associated with this code include ureteropelvic junction obstruction, which is characterized by a blockage at the junction where the ureter meets the renal pelvis, and other less common anomalies. Congenital malformations of the urinary system may also include renal agenesis, where one or both kidneys fail to develop, and polycystic kidney disease, which involves the formation of numerous cysts in the kidneys. Bladder exstrophy, a rare condition where the bladder is exposed outside the body, and posterior urethral valves, which can obstruct urine flow in males, are also significant congenital anomalies that may be coded under this category. Accurate coding requires a thorough understanding of the specific malformation and its implications for treatment and management.
Pediatric documentation must include growth parameters, developmental milestones, and specific urinary symptoms. Detailed imaging reports and surgical notes are critical.
Common scenarios include newborns presenting with hydronephrosis detected on prenatal ultrasound or infants with urinary tract infections due to obstructive defects.
Consideration must be given to the age of the patient and the potential for growth and development impacts due to renal anomalies.
Genetic documentation should include family history of congenital anomalies, results of genetic testing, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of renal malformations or syndromes associated with urinary tract defects.
Genetic coders must be aware of syndromic presentations that may include renal anomalies, such as Turner syndrome or trisomy 18.
Used in cases of ureteropelvic junction obstruction to relieve obstruction.
Document indication for stent placement and imaging findings.
Pediatric urologists may have specific protocols for stent placement in infants.
Common conditions include ureteropelvic junction obstruction, renal agenesis, and bladder exstrophy. Each condition has unique implications for management and coding.
