Vesicoureteral-reflux with reflux nephropathy without hydroureter, unilateral
ICD-10 N13.721 is a billable code used to indicate a diagnosis of vesicoureteral-reflux with reflux nephropathy without hydroureter, unilateral.
Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially the kidneys. This backward flow can lead to recurrent urinary tract infections (UTIs) and subsequent kidney damage, known as reflux nephropathy. In cases where VUR is unilateral, only one kidney is affected, which can lead to complications such as pyelonephritis, interstitial nephritis, and, in severe cases, renal scarring. The absence of hydroureter indicates that the ureter is not dilated, which can help differentiate this condition from other forms of urinary obstruction. Patients may present with symptoms of UTI, flank pain, or fever due to pyelonephritis. Management often includes antibiotic prophylaxis to prevent infections, and in some cases, surgical intervention may be necessary to correct the reflux. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed history of urinary symptoms, growth and development assessments, and family history of urinary conditions.
Children presenting with recurrent UTIs, abdominal pain, or fever.
Consideration of age-related factors in diagnosis and treatment, as well as the potential for surgical intervention.
Comprehensive evaluation of urinary tract anatomy, imaging studies, and surgical history.
Adult patients with a history of VUR presenting with renal impairment or recurrent infections.
Focus on surgical options for correction of reflux and long-term management of nephropathy.
Used in cases of severe reflux requiring surgical correction.
Operative report detailing the procedure and indication for surgery.
Urology specialists should ensure comprehensive documentation of pre-operative evaluations.
Accurate coding of N13.721 is crucial for proper patient management, reimbursement, and tracking of healthcare outcomes related to vesicoureteral reflux and its complications.
