Vesicoureteral-reflux
ICD-10 N13.7 is a billable code used to indicate a diagnosis of vesicoureteral-reflux.
Vesicoureteral reflux (VUR) is a condition characterized by the abnormal flow of urine from the bladder back into the ureters and potentially into the kidneys. This condition can lead to recurrent urinary tract infections (UTIs), pyelonephritis, and hydronephrosis due to the increased pressure and potential damage to the renal parenchyma. In children, VUR is often congenital, while in adults, it may result from bladder outlet obstruction or neurogenic bladder. The severity of VUR is classified into grades I to V, with higher grades indicating more severe reflux and a greater risk of renal complications. Patients with VUR may present with symptoms such as fever, flank pain, and dysuria, and may require imaging studies such as a voiding cystourethrogram (VCUG) to confirm the diagnosis. Management often includes antibiotic prophylaxis to prevent UTIs, and in severe cases, surgical intervention may be necessary to correct the reflux. Understanding the implications of VUR is crucial for preventing long-term renal damage and ensuring appropriate treatment.
Detailed history of urinary tract infections, imaging results, and treatment plans.
Children presenting with recurrent UTIs or febrile illnesses.
Consideration of congenital anomalies and developmental milestones.
Comprehensive assessment of urinary function, imaging studies, and surgical notes if applicable.
Adults with bladder outlet obstruction or neurogenic bladder presenting with VUR.
Documentation of surgical interventions and follow-up care.
Used to evaluate the bladder and urethra in patients with suspected VUR.
Document indications for the procedure and findings.
Urology specialists should ensure detailed procedural notes.
Common complications include recurrent urinary tract infections, pyelonephritis, hydronephrosis, and potential long-term renal damage if left untreated.
