Congenital malformation of kidney, unspecified
ICD-10 Q63.9 is a billable code used to indicate a diagnosis of congenital malformation of kidney, unspecified.
Congenital malformations of the kidney encompass a range of structural abnormalities that can significantly impact renal function and overall health. This code, Q63.9, is used when a specific malformation is not identified. Common congenital kidney malformations include renal agenesis, where one or both kidneys fail to develop; polycystic kidney disease, characterized by the formation of numerous cysts in the kidneys; and bladder exstrophy, a condition where the bladder is exposed outside the body. Posterior urethral valves, which obstruct urine flow in males, can also lead to significant renal complications. These conditions often require multidisciplinary management, including pediatric nephrology, urology, and genetics, to address both the immediate and long-term health implications. Early diagnosis through imaging and genetic testing is crucial for optimal management and to inform families about potential outcomes and interventions.
Pediatric documentation should include detailed descriptions of the malformation, associated symptoms, and any interventions performed.
Common scenarios include newborns presenting with abdominal distension due to renal agenesis or infants diagnosed with polycystic kidney disease during routine imaging.
Consideration must be given to the age of the patient and the potential for growth and development issues related to renal function.
Genetic documentation should include family history, results of genetic testing, and any syndromic associations with the congenital malformation.
Scenarios may involve genetic counseling for families with a history of congenital kidney malformations or syndromes associated with renal anomalies.
Genetic factors may play a significant role in the presentation of congenital kidney malformations, necessitating thorough genetic evaluation.
Used in cases of severe renal failure due to congenital malformations.
Documentation must include indications for transplant and pre-operative evaluations.
Pediatric nephrology must be involved in the transplant process.
If the specific type is not documented, use Q63.9 but ensure to note the lack of specificity in the medical record. Encourage providers to include detailed descriptions in future documentation.
