Double urinary meatus
ICD-10 Q64.75 is a billable code used to indicate a diagnosis of double urinary meatus.
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.
Documentation should include detailed descriptions of the urinary anatomy, any associated anomalies, and the patient's clinical history.
Common scenarios include evaluation of a newborn with ambiguous genitalia or recurrent urinary tract infections.
Pediatric coders must be aware of the developmental implications of urinary anomalies and their management.
Genetic counseling notes should document any chromosomal evaluations and family history of congenital anomalies.
Scenarios may involve assessing a child with double urinary meatus for potential syndromic associations.
Genetic coders should consider the implications of chromosomal abnormalities that may accompany urinary malformations.
Used in cases where surgical correction of double urinary meatus is required.
Operative reports detailing the procedure and any complications.
Urology specialists should ensure accurate coding of the surgical intervention.
Common complications include urinary incontinence, recurrent urinary tract infections, and potential renal issues if associated with other congenital anomalies.