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v1.0.0
ICD-10 Guide
ICD-10 CodesQ64.75

Q64.75

Billable

Double urinary meatus

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

Code Description

ICD-10 Q64.75 is a billable code used to indicate a diagnosis of double urinary meatus.

Key Diagnostic Point:

Double urinary meatus is a congenital anomaly characterized by the presence of two urinary openings on the external genitalia. This condition can occur in isolation or as part of a more complex urogenital malformation. It is essential to evaluate the associated structures, as double urinary meatus may be linked to other congenital anomalies of the urinary system, such as renal agenesis, bladder exstrophy, or posterior urethral valves. In some cases, the condition may be associated with chromosomal abnormalities, necessitating a thorough genetic evaluation. The clinical presentation can vary, with some patients experiencing urinary incontinence or recurrent urinary tract infections, while others may be asymptomatic. Diagnosis typically involves physical examination and imaging studies, such as ultrasound, to assess the urinary tract's anatomy and function. Management may include surgical intervention to correct the anomaly, especially if it leads to complications. Understanding the implications of double urinary meatus is crucial for pediatricians and urologists in providing comprehensive care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in associated congenital anomalies
  • Need for detailed anatomical assessment
  • Potential for coexisting chromosomal abnormalities
  • Variations in clinical presentation and symptoms

Audit Risk Factors

  • Inadequate documentation of associated anomalies
  • Failure to note surgical interventions performed
  • Misclassification of the condition as a non-congenital anomaly
  • Lack of genetic evaluation documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include detailed descriptions of the urinary anatomy, any associated anomalies, and the patient's clinical history.

Common Clinical Scenarios

Common scenarios include evaluation of a newborn with ambiguous genitalia or recurrent urinary tract infections.

Billing Considerations

Pediatric coders must be aware of the developmental implications of urinary anomalies and their management.

Genetics

Documentation Requirements

Genetic counseling notes should document any chromosomal evaluations and family history of congenital anomalies.

Common Clinical Scenarios

Scenarios may involve assessing a child with double urinary meatus for potential syndromic associations.

Billing Considerations

Genetic coders should consider the implications of chromosomal abnormalities that may accompany urinary malformations.

Coding Guidelines

Inclusion Criteria

Use Q64.75 When
  • According to ICD
  • 10 coding guidelines, congenital conditions should be coded based on the specific anatomical and functional implications
  • Documentation must support the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use Q64.75 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 53410CPT Code

Urethral reconstruction

Clinical Scenario

Used in cases where surgical correction of double urinary meatus is required.

Documentation Requirements

Operative reports detailing the procedure and any complications.

Specialty Considerations

Urology specialists should ensure accurate coding of the surgical intervention.

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 urinary meatus, enhancing the ability to capture the complexity of these cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including double urinary meatus, enhancing the ability to capture the complexity of these cases.

Reimbursement & Billing Impact

reimbursement.

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 urinary meatus?

Common complications include urinary incontinence, recurrent urinary tract infections, and potential renal issues if associated with other congenital anomalies.