Lobulated, fused and horseshoe kidney
ICD-10 Q63.1 is a billable code used to indicate a diagnosis of lobulated, fused and horseshoe kidney.
Lobulated, fused, and horseshoe kidney are congenital malformations of the kidneys characterized by abnormal kidney shape and position. A horseshoe kidney occurs when the two kidneys are fused together at their lower ends, forming a U-shape. This condition can lead to various complications, including urinary obstruction, hydronephrosis, and increased risk of urinary tract infections. Lobulated kidneys may present with multiple lobes or segments, which can also affect renal function. These anomalies are often detected through imaging studies such as ultrasound or CT scans during prenatal or postnatal evaluations. The exact etiology is not fully understood, but genetic factors and environmental influences during fetal development are believed to play a role. Patients with these conditions may require ongoing monitoring and management to address potential complications and ensure optimal renal function.
Pediatric documentation should include growth parameters, developmental milestones, and specific renal function tests.
Common scenarios include prenatal diagnosis via ultrasound, postnatal evaluation of renal function, and management of urinary tract infections.
Considerations include the age of the patient, potential for surgical intervention, and long-term follow-up for renal health.
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 kidney malformations and evaluation for syndromic conditions.
Considerations include the potential for chromosomal abnormalities and the need for multidisciplinary management.
Used in cases of severe obstruction or complications from horseshoe kidney.
Document indications for surgery, imaging findings, and preoperative assessments.
Urology specialists should provide detailed operative reports.
Common complications include urinary obstruction, hydronephrosis, recurrent urinary tract infections, and hypertension. Regular monitoring and management are essential to address these issues.
