Congenital stricture of urethra
ICD-10 Q64.32 is a billable code used to indicate a diagnosis of congenital stricture of urethra.
Congenital stricture of the urethra is a condition characterized by a narrowing of the urethra that is present at birth. This malformation can lead to obstructive uropathy, urinary retention, and recurrent urinary tract infections. The stricture may occur at any point along the urethra and can vary in severity. In pediatric patients, it is often associated with other congenital anomalies of the urinary tract, such as renal agenesis, bladder exstrophy, or posterior urethral valves. Diagnosis typically involves imaging studies, such as ultrasound or voiding cystourethrogram, and may require urodynamic studies to assess the impact on urinary function. Treatment often involves surgical intervention to correct the stricture, which may include urethral dilation or urethroplasty. Early diagnosis and management are crucial to prevent long-term complications, including kidney damage and impaired bladder function.
Pediatric documentation should include growth parameters, developmental milestones, and specific urinary symptoms. Detailed descriptions of any associated congenital anomalies are essential.
Common scenarios include a newborn presenting with urinary retention, a child with recurrent urinary tract infections, or a patient with a known history of congenital urinary tract anomalies.
Special considerations include the need for multidisciplinary care involving urology, nephrology, and genetics, particularly in cases with multiple congenital anomalies.
Genetic documentation should include family history, any known syndromes associated with congenital urinary tract anomalies, and results from genetic testing if performed.
Genetic counseling may be required for families with a history of congenital anomalies, particularly if there are multiple affected family members or if the child has additional syndromic features.
Considerations include the potential for chromosomal abnormalities that may be associated with congenital urinary tract malformations, necessitating comprehensive genetic evaluation.
Used in cases of congenital stricture requiring dilation to relieve obstruction.
Document the indication for dilation and any associated findings.
Urology specialists should provide detailed operative notes.
Documenting associated congenital anomalies is crucial for accurate coding and to ensure appropriate reimbursement. It also helps in understanding the patient's overall health status and the complexity of care required.
