Other congenital malformations of bladder and urethra
ICD-10 Q64.79 is a billable code used to indicate a diagnosis of other congenital malformations of bladder and urethra.
Congenital malformations of the bladder and urethra encompass a variety of structural anomalies that can significantly impact urinary function and overall health. Conditions such as renal agenesis, where one or both kidneys fail to develop, can lead to severe complications including oligohydramnios and pulmonary hypoplasia. Polycystic kidney disease, characterized by the formation of numerous cysts in the kidneys, can result in renal failure and hypertension. Bladder exstrophy is a rare condition where the bladder is turned inside out and exposed outside the abdomen, requiring surgical intervention shortly after birth. Posterior urethral valves, a condition where abnormal flaps of tissue obstruct the urethra, can lead to urinary retention and kidney damage. These congenital anomalies often require multidisciplinary management, including surgical correction and ongoing urological care, making accurate coding essential for appropriate treatment and reimbursement.
Pediatric documentation should include detailed birth history, prenatal imaging findings, and any associated anomalies. Growth and developmental assessments are also crucial.
Common scenarios include newborns presenting with urinary tract obstruction, infants with ambiguous genitalia, and children requiring surgical correction of bladder exstrophy.
Coders should be aware of the age-specific implications of congenital conditions and the potential for long-term follow-up care.
Genetic documentation should include family history, results of genetic testing, and any syndromic associations with the congenital malformations.
Scenarios may involve genetic counseling for families with a history of congenital urinary tract anomalies or syndromes associated with renal malformations.
Consideration of chromosomal abnormalities that may co-occur with urinary malformations is essential for accurate coding.
Used in cases of renal agenesis or severe renal dysplasia.
Operative reports detailing the procedure and indications.
Pediatric urology specialists should provide detailed surgical notes.
Common congenital malformations include bladder exstrophy, posterior urethral valves, renal agenesis, and polycystic kidney disease. Each condition presents unique challenges and requires specific coding and management strategies.
