Exstrophy of urinary bladder, unspecified
ICD-10 Q64.10 is a billable code used to indicate a diagnosis of exstrophy of urinary bladder, unspecified.
Exstrophy of the urinary bladder is a congenital malformation characterized by the abnormal development of the bladder, resulting in its exposure outside the body. This condition occurs due to a failure of the abdominal wall and pelvic bones to close properly during fetal development. The severity of bladder exstrophy can vary, but it often involves associated anomalies such as epispadias, where the urethra is located on the upper side of the penis in males or the clitoris in females. Patients may also experience urinary incontinence, recurrent urinary tract infections, and complications related to the urinary system. Management typically requires surgical intervention to reconstruct the bladder and restore normal urinary function. Early diagnosis and multidisciplinary care are crucial for optimizing outcomes in affected children. The condition may also be associated with other congenital anomalies, including renal agenesis and posterior urethral valves, necessitating comprehensive evaluation and management.
Detailed pediatric history, physical examination findings, and surgical reports are essential for accurate coding.
Pediatric patients presenting with urinary incontinence, recurrent UTIs, or requiring surgical intervention for bladder exstrophy.
Consideration of growth and development milestones in pediatric patients with congenital urinary anomalies.
Genetic evaluation reports, family history, and chromosomal analysis results are critical for understanding potential genetic syndromes associated with congenital urinary malformations.
Genetic counseling for families with a history of congenital urinary tract anomalies or syndromic presentations.
Awareness of genetic syndromes that may present with bladder exstrophy, such as cloacal exstrophy.
Used in surgical management of bladder exstrophy.
Surgical reports detailing the procedure and indications.
Urology specialists should document the specifics of the surgical approach.
Accurate coding of exstrophy is crucial for appropriate management and reimbursement. It helps in tracking the incidence of congenital urinary anomalies and ensures that patients receive the necessary multidisciplinary care.
