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v1.0.0
ICD-10 Guide
ICD-10 CodesQ64.74

Q64.74

Billable

Double urethra

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q64.74 is a billable code used to indicate a diagnosis of double urethra.

Key Diagnostic Point:

Double urethra, or duplicated urethra, is a rare congenital anomaly characterized by the presence of two urethras in an individual. This condition can occur in both males and females and may be associated with other urinary tract malformations. The double urethra can lead to various complications, including urinary incontinence, recurrent urinary tract infections, and difficulties in urination. In males, it may be associated with hypospadias or other penile anomalies, while in females, it may coexist with vaginal malformations. Diagnosis is typically made through imaging studies such as ultrasound or MRI, and management may involve surgical intervention to correct the anatomical abnormalities and improve urinary function. The condition is often part of a spectrum of congenital malformations affecting the urinary system, which may include renal agenesis, bladder exstrophy, and posterior urethral valves, necessitating a comprehensive approach to care and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Need for detailed anatomical descriptions in documentation
  • Potential for co-occurring congenital conditions
  • Variations in surgical management and follow-up care

Audit Risk Factors

  • Inadequate documentation of associated urinary tract anomalies
  • Failure to specify the type of surgical intervention performed
  • Misclassification of the condition due to similar-sounding codes
  • Lack of clarity in the clinical scenario leading to coding errors

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history including prenatal factors, birth history, and developmental milestones.

Common Clinical Scenarios

Evaluation of a newborn with suspected urinary tract anomalies, management of urinary incontinence in children, and follow-up care post-surgery.

Billing Considerations

Pediatric coders should ensure that all congenital anomalies are documented, including any surgical interventions and their outcomes.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of urinary tract malformations and assessment of potential genetic syndromes.

Billing Considerations

Genetic coders must be aware of the implications of chromosomal abnormalities that may be associated with urinary tract anomalies.

Coding Guidelines

Inclusion Criteria

Use Q64.74 When
  • Coders should refer to the official ICD
  • CM guidelines for congenital malformations, ensuring that all relevant details are captured, including the presence of associated conditions and the specifics of any surgical interventions

Exclusion Criteria

Do NOT use Q64.74 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 50080CPT Code

Cystoscopy

Clinical Scenario

Used to visualize the urinary tract in patients with suspected double urethra.

Documentation Requirements

Document indications for the procedure, findings, and any interventions performed.

Specialty Considerations

Urology specialists should ensure accurate coding based on findings during cystoscopy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including double urethra, which enhances the ability to capture the complexity of these cases and improve patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including double urethra, which enhances the ability to capture the complexity of these cases and improve patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including double urethra, which enhances the ability to capture the complexity of these cases and improve patient care.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common complications associated with double urethra?

Common complications include urinary incontinence, recurrent urinary tract infections, and potential obstruction. Surgical intervention may be necessary to address these issues and improve urinary function.