Vesicoureteral-reflux without reflux nephropathy
ICD-10 N13.71 is a billable code used to indicate a diagnosis of vesicoureteral-reflux without reflux nephropathy.
Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially into the kidneys. This abnormal flow can lead to recurrent urinary tract infections (UTIs), pyelonephritis, and hydronephrosis, particularly in pediatric populations. In cases of VUR without reflux nephropathy, the kidneys remain functionally intact, and there is no evidence of kidney damage. The condition is often diagnosed through imaging studies such as a voiding cystourethrogram (VCUG) or renal ultrasound. Management typically involves monitoring, antibiotic prophylaxis to prevent UTIs, and in some cases, surgical intervention to correct the reflux. The absence of reflux nephropathy distinguishes this code from other related codes, emphasizing the importance of accurate diagnosis and documentation in coding practices.
Detailed history of urinary tract infections, imaging studies, and treatment plans.
Children presenting with recurrent UTIs and diagnosed with VUR.
Consideration of growth and development impacts on management.
Comprehensive evaluation of urinary tract anatomy and function, including surgical notes if applicable.
Adults with a history of VUR presenting with complications such as hydronephrosis.
Need for surgical intervention documentation if performed.
Used to assess for hydronephrosis in patients with VUR.
Document findings of hydronephrosis and any other abnormalities.
Urologists may require additional imaging studies for surgical planning.
Coding N13.71 accurately reflects the patient's condition of vesicoureteral reflux without nephropathy, which is crucial for appropriate management and treatment planning.
