Vesicoureteral-reflux with reflux nephropathy with hydroureter
ICD-10 N13.73 is a billable code used to indicate a diagnosis of vesicoureteral-reflux with reflux nephropathy with hydroureter.
Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially the kidneys. This abnormal flow can lead to recurrent urinary tract infections (UTIs) and subsequent kidney damage, known as reflux nephropathy. In cases where VUR is severe, it can cause hydroureter, which is the dilation of the ureter due to obstruction or increased pressure from the refluxing urine. The combination of VUR and reflux nephropathy can lead to pyelonephritis, an infection of the kidney, and interstitial nephritis, which is inflammation of the kidney's interstitial tissue. Patients may present with symptoms such as flank pain, fever, and dysuria. Management often includes antibiotic therapy to prevent UTIs, and in some cases, surgical intervention may be necessary to correct the reflux. The condition requires careful monitoring and management to prevent long-term renal damage.
Detailed notes on the patient's history of UTIs, imaging studies, and any surgical interventions.
Evaluation of pediatric patients with recurrent UTIs, management of VUR, and surgical correction.
Ensure clear documentation of the degree of reflux and any associated renal damage.
Comprehensive renal function assessments, lab results, and treatment plans for nephropathy.
Management of chronic kidney disease secondary to reflux nephropathy.
Document the impact of VUR on renal function and any interventions undertaken.
Used in the treatment of VUR to prevent reflux.
Document the indication for the procedure and any pre-operative evaluations.
Urology specialists should ensure that the procedure is linked to the diagnosis of VUR.
Accurate coding of N13.73 is crucial for proper reimbursement, quality of care, and tracking of patient outcomes related to vesicoureteral reflux and its complications.