Other atresia and stenosis of urethra and bladder neck
ICD-10 Q64.39 is a billable code used to indicate a diagnosis of other atresia and stenosis of urethra and bladder neck.
Atresia and stenosis of the urethra and bladder neck are congenital malformations that can significantly impact urinary function in affected individuals. These conditions may present as complete or partial obstruction, leading to urinary retention, hydronephrosis, and potential renal impairment. Congenital atresia refers to the absence or closure of the urethra or bladder neck, while stenosis indicates a narrowing that restricts urine flow. These malformations can occur in isolation or as part of syndromic presentations, often associated with other urinary tract anomalies such as renal agenesis, bladder exstrophy, or posterior urethral valves. Diagnosis typically involves imaging studies, such as ultrasound or voiding cystourethrogram, and may require surgical intervention to restore normal urinary function. Early identification and management are crucial to prevent complications such as urinary tract infections and renal damage.
Pediatric documentation should include growth parameters, developmental milestones, and specific urinary symptoms. Detailed descriptions of any surgical interventions and follow-up care are essential.
Common scenarios include a newborn presenting with urinary retention, a child with recurrent urinary tract infections, or a patient undergoing surgical correction of bladder neck obstruction.
Coders should be aware of the age-specific implications of urinary malformations and the potential for long-term follow-up needs.
Genetic documentation should include family history, genetic testing results, and any syndromic associations. Detailed notes on genetic counseling provided to families are also important.
Scenarios may involve a child with a known genetic syndrome presenting with urinary anomalies or a family seeking genetic counseling after a diagnosis of a congenital malformation.
Consideration should be given to the potential for chromosomal abnormalities that may accompany urinary tract malformations, necessitating thorough genetic evaluation.
Used to evaluate urinary tract anomalies in patients with suspected atresia or stenosis.
Documentation must include indications for the procedure and findings.
Pediatric urologists often perform these evaluations, requiring specific coding knowledge.
Common congenital urinary malformations associated with Q64.39 include renal agenesis, bladder exstrophy, and posterior urethral valves. Each of these conditions can present unique challenges in diagnosis and management, necessitating careful coding and documentation.
