Exstrophy of urinary bladder
ICD-10 Q64.1 is a billable code used to indicate a diagnosis of exstrophy of urinary bladder.
Exstrophy of the urinary bladder is a congenital malformation characterized by the abnormal development of the bladder, resulting in its exposure on the abdominal wall. This condition occurs due to a failure of the abdominal wall to close properly during fetal development, leading to the bladder being located outside the body. The severity of bladder exstrophy can vary, and it is often associated with other urinary tract anomalies, such as epispadias, renal agenesis, or posterior urethral valves. Children with bladder exstrophy may experience urinary incontinence, recurrent urinary tract infections, and complications related to the associated malformations. Surgical intervention is typically required to reconstruct the bladder and restore its normal position. Early diagnosis and management are crucial for improving outcomes and quality of life for affected individuals. The condition may also have implications for future fertility and psychosocial development, necessitating a multidisciplinary approach to care.
Pediatric documentation should include detailed descriptions of the child's growth, development, and any associated urinary tract anomalies.
Common scenarios include newborns diagnosed with bladder exstrophy during routine examinations or prenatal ultrasounds.
Consideration must be given to the child's age, developmental milestones, and the impact of surgical interventions on urinary function.
Genetic documentation should include family history, potential genetic syndromes associated with bladder exstrophy, and any chromosomal abnormalities.
Genetic counseling may be required for families with a history of congenital malformations or when associated syndromes are suspected.
Genetic testing may be indicated to rule out chromosomal abnormalities that could contribute to the condition.
Used during surgical intervention for bladder exstrophy.
Detailed operative notes and pre-operative assessments.
Pediatric urology specialists should provide comprehensive documentation.
Common associated conditions include epispadias, renal agenesis, and urinary tract infections. Accurate coding requires documentation of these associated anomalies.
