Obstructive and reflux uropathy
Chapter 14:Diseases of the genitourinary system
ICD-10 N13 is a used to indicate a diagnosis of obstructive and reflux uropathy.
Obstructive and reflux uropathy encompasses a range of conditions characterized by the obstruction of urine flow and the backward flow of urine from the bladder into the ureters or kidneys. This category includes conditions such as hydronephrosis, ureteral obstruction, and vesicoureteral reflux, which can lead to significant renal impairment if not diagnosed and managed promptly. The clinical significance of these conditions lies in their potential to cause kidney damage, urinary tract infections, and other complications, making early detection and intervention crucial for preserving renal function and overall patient health.
Detailed patient history including symptoms, laboratory results, and imaging studies related to kidney function.
Management of patients with chronic kidney disease due to obstructive uropathy or vesicoureteral reflux.
Ensure to document the degree of renal impairment and any previous interventions related to urinary obstruction.
Comprehensive notes on the patient's urinary history, physical examinations, and results from urodynamic studies.
Surgical interventions for ureteral obstruction or vesicoureteral reflux repair, including preoperative assessments.
Need to specify the anatomical location of obstruction and any associated conditions.
Accurate and timely documentation of presenting symptoms, vital signs, and initial treatment provided.
Acute management of patients presenting with flank pain or urinary retention due to obstructive uropathy.
Document the urgency of intervention and any imaging studies ordered to assess kidney status.
Thorough assessment of comorbidities and their impact on urinary function, as well as any medication history.
Evaluation and management of patients with chronic conditions contributing to obstructive uropathy.
Documentation should reflect a multidisciplinary approach, considering both renal and systemic implications.
Indication for procedure, imaging results, and patient consent.
Details of the cystoscopy findings and specific agent used for injection.
Clear rationale for fluoroscopy use and detailed procedural notes.
Pre- and post-procedure assessments, including patient symptoms.
Indications for lithotripsy, imaging studies supporting diagnosis.
N13 includes obstructive uropathy due to various causes such as stones, tumors, or congenital anomalies, as well as reflux uropathy resulting from vesicoureteral reflux.
N13 codes should be used when documenting cases of obstructive or reflux uropathy, particularly when there is evidence of renal impairment or complications arising from these conditions.
Documentation should include a detailed clinical history, results from imaging studies, and any relevant laboratory tests that support the diagnosis of obstructive or reflux uropathy.
