Anomalous implantation of ureter
ICD-10 Q62.63 is a billable code used to indicate a diagnosis of anomalous implantation of ureter.
Anomalous implantation of the ureter refers to a congenital malformation where the ureter does not connect to the bladder in the normal anatomical position. This condition can lead to various complications, including urinary obstruction, recurrent urinary tract infections, and potential renal damage. It may occur as an isolated anomaly or as part of a syndrome involving other congenital malformations of the urinary system, such as renal agenesis, where one or both kidneys fail to develop, or bladder exstrophy, where the bladder is exposed outside the body. The condition can also be associated with posterior urethral valves, which obstruct the flow of urine and can lead to hydronephrosis. Diagnosis typically involves imaging studies such as ultrasound or MRI, and management may require surgical intervention to correct the ureteral placement and prevent further complications. Early detection and treatment are crucial to preserve renal function and ensure optimal outcomes for affected individuals.
Pediatric documentation should include growth parameters, developmental milestones, and specific urinary symptoms.
Common scenarios include newborns presenting with urinary obstruction or recurrent UTIs, requiring imaging and potential surgical intervention.
Consideration of age-related anatomical differences and the impact of congenital anomalies on growth and development.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital urinary anomalies.
Awareness of chromosomal abnormalities that may co-occur with urinary tract anomalies, necessitating comprehensive genetic evaluation.
Used in cases of anomalous implantation requiring surgical correction.
Surgical reports detailing the procedure and indications.
Pediatric urologists should ensure comprehensive documentation of pre-operative evaluations.
Common complications include urinary obstruction, recurrent urinary tract infections, and potential renal damage, necessitating careful monitoring and management.
