Congenital urethrorectal fistula
ICD-10 Q64.73 is a billable code used to indicate a diagnosis of congenital urethrorectal fistula.
Congenital urethrorectal fistula is a rare malformation characterized by an abnormal connection between the urethra and the rectum. This condition typically presents in newborns and can lead to significant complications, including urinary tract infections, fecal incontinence, and difficulties with urination. The fistula may vary in size and location, impacting the severity of symptoms and the complexity of surgical repair. Diagnosis is often made through physical examination and imaging studies, such as ultrasound or MRI, which can help delineate the anatomy and assess associated anomalies. Management usually involves surgical intervention to correct the fistula and may require multidisciplinary care, including urology and pediatric surgery. Early diagnosis and treatment are crucial to prevent long-term complications and improve the quality of life for affected individuals.
Pediatric documentation should include detailed descriptions of the fistula, associated anomalies, and the patient's overall health status.
Common scenarios include newborns presenting with urinary issues, requiring surgical evaluation and intervention.
Consideration must be given to the age of the patient and the timing of surgical interventions.
Genetic documentation should include family history, potential syndromic associations, and any genetic testing results.
Genetic counseling may be necessary for families with a history of congenital anomalies.
Awareness of chromosomal abnormalities that may co-occur with congenital malformations is essential.
Used during surgical intervention for congenital urethrorectal fistula.
Detailed operative report outlining the procedure and any complications.
Pediatric surgical documentation must include age-specific considerations.
Common associated conditions include renal agenesis, bladder exstrophy, and other congenital anomalies of the urinary tract. It is essential to document these conditions for accurate coding and management.
