Ectopic kidney
ICD-10 Q63.2 is a billable code used to indicate a diagnosis of ectopic kidney.
Ectopic kidney is a congenital malformation characterized by the abnormal positioning of one or both kidneys outside their normal anatomical location. This condition occurs during fetal development when the kidneys fail to ascend to their usual position in the abdominal cavity. Ectopic kidneys can be located in various positions, including the pelvis or the thoracic cavity. The condition may be asymptomatic or may lead to complications such as urinary obstruction, infection, or hypertension. Ectopic kidneys are often associated with other congenital anomalies, particularly those affecting the urinary system, such as renal agenesis, bladder exstrophy, and posterior urethral valves. Diagnosis is typically made through imaging studies such as ultrasound or CT scans. Management may involve monitoring, surgical intervention, or addressing associated anomalies. Understanding the implications of ectopic kidney is crucial for pediatric care, as early detection and management can significantly improve outcomes.
Pediatric documentation should include detailed descriptions of the child's symptoms, imaging results, and any associated congenital conditions.
Common scenarios include a newborn presenting with urinary tract infections or abdominal masses, prompting imaging studies that reveal ectopic kidneys.
Considerations include the child's growth and development, potential for urinary complications, and the need for multidisciplinary care.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with ectopic kidney.
Scenarios may involve genetic counseling for families with a history of congenital anomalies or syndromes associated with ectopic kidney.
Considerations include the potential for chromosomal abnormalities and the need for genetic evaluation in cases of multiple congenital anomalies.
Used in cases where ectopic kidney causes complications requiring surgical intervention.
Detailed operative notes and pre-operative imaging results.
Pediatric surgeons should document the rationale for surgery and any associated findings.
Accurate coding of ectopic kidney is crucial for proper management and treatment planning. It ensures that healthcare providers are aware of the patient's condition and any associated risks, leading to better outcomes and appropriate resource allocation.
