Hyperplastic and giant kidney
ICD-10 Q63.3 is a billable code used to indicate a diagnosis of hyperplastic and giant kidney.
Hyperplastic and giant kidney refers to a congenital malformation characterized by an abnormally enlarged kidney due to hyperplasia of renal tissue. This condition can lead to various complications, including hypertension, renal insufficiency, and urinary tract obstruction. It is often associated with other congenital anomalies of the urinary system, such as renal agenesis, where one or both kidneys fail to develop, and polycystic kidney disease, which involves the formation of numerous cysts in the kidneys. Additionally, conditions like bladder exstrophy and posterior urethral valves may coexist, complicating the clinical picture. Diagnosis typically involves imaging studies such as ultrasound or MRI, which can reveal the size and structure of the kidneys. Management may require surgical intervention, especially if there are associated urinary tract obstructions or significant renal impairment. Early detection and intervention are crucial to prevent long-term complications and improve outcomes for affected children.
Detailed pediatric history, physical examination findings, and imaging results are essential for accurate coding.
Pediatric patients presenting with abdominal distension, hypertension, or urinary tract infections may require evaluation for hyperplastic kidneys.
Consideration of growth and development milestones in pediatric patients is crucial for understanding the impact of renal anomalies.
Genetic testing results, family history of congenital anomalies, and chromosomal analysis are important for comprehensive coding.
Patients with a family history of renal anomalies may undergo genetic counseling and testing to assess risk for hyperplastic kidneys.
Understanding the genetic syndromes associated with renal anomalies can aid in accurate coding and management.
Used when surgical intervention is required for hyperplastic kidneys.
Surgical reports detailing the procedure and indications for surgery.
Pediatric surgeons must document the rationale for surgical intervention in congenital cases.
Common associated conditions include renal agenesis, polycystic kidney disease, bladder exstrophy, and posterior urethral valves. Accurate coding requires documentation of these associated anomalies.
