Vesicoureteral-reflux with reflux nephropathy with hydroureter, bilateral
ICD-10 N13.732 is a billable code used to indicate a diagnosis of vesicoureteral-reflux with reflux nephropathy with hydroureter, bilateral.
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 can cause damage to the kidneys, known as reflux nephropathy. In cases where VUR is severe, it can lead to hydroureter, which is the dilation of the ureters due to the accumulation of urine. When this condition is bilateral, it affects both ureters and can result in significant renal impairment. Patients may present with symptoms of pyelonephritis, which is an infection of the kidney, or interstitial nephritis, characterized by inflammation of the kidney interstitium. Hydronephrosis may also occur, where the kidneys become swollen due to the buildup of urine. Management often includes antibiotic therapy to prevent UTIs, and in some cases, surgical intervention may be necessary to correct the reflux. The complexity of this condition arises from the interplay of multiple factors, including the risk of drug-induced nephropathy from prolonged antibiotic use and the need for careful monitoring of renal function.
Detailed notes on the patient's history of UTIs, imaging studies, and any surgical interventions.
Patients presenting with recurrent UTIs, renal impairment, or complications from VUR.
Ensure clear documentation of the severity of reflux and any surgical corrections performed.
Comprehensive renal function tests, imaging results, and treatment plans for managing nephropathy.
Patients with chronic kidney disease secondary to reflux nephropathy.
Document any drug-induced nephropathy due to antibiotic use and monitor renal function closely.
Used in cases of severe VUR requiring intervention.
Document indications for the procedure and any findings during cystoscopy.
Urology specialists should ensure proper coding based on the findings.
Accurate coding of N13.732 is crucial for proper reimbursement, tracking of patient outcomes, and ensuring that patients receive appropriate care for their complex renal conditions.
