Malposition of ureter
ICD-10 Q62.6 is a billable code used to indicate a diagnosis of malposition of ureter.
Malposition of the ureter is a congenital anomaly characterized by the abnormal positioning of the ureter, which can lead to various complications in urinary function. This condition may result in obstruction, reflux, or hydronephrosis, depending on the degree and nature of the malposition. In pediatric patients, 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 malposition can occur due to developmental errors during embryogenesis, which may also involve chromosomal abnormalities that affect renal and urinary tract development. Diagnosis typically involves imaging studies such as ultrasound or MRI, and management may require surgical intervention to correct the ureter's position and restore normal urinary function. Early detection and treatment are crucial to prevent long-term complications such as chronic kidney disease or recurrent urinary tract infections.
Detailed documentation of the patient's history, physical examination findings, and imaging results is essential. Pediatric coders should ensure that all congenital anomalies are documented.
Common scenarios include a newborn presenting with hydronephrosis or recurrent urinary tract infections, necessitating imaging studies to evaluate for ureteral malposition.
Pediatric patients may have unique presentations and associated conditions that require careful coding to reflect the complexity of their care.
Genetic testing results and family history should be documented to identify potential chromosomal abnormalities associated with congenital malformations.
Scenarios may include genetic counseling for families with a history of congenital urinary tract anomalies or syndromic presentations.
Coders should be aware of the implications of genetic syndromes that may influence the management and coding of urinary tract malformations.
Used in cases of ureteral malposition requiring surgical correction.
Surgical notes detailing the procedure and indications for surgery.
Pediatric urologists should ensure comprehensive documentation of the surgical approach and outcomes.
Common associated conditions include renal agenesis, bladder exstrophy, and other congenital anomalies of the urinary tract. It is essential to document these conditions for accurate coding and management.
