Vesicoureteral-reflux with reflux nephropathy with hydroureter, unspecified
ICD-10 N13.739 is a billable code used to indicate a diagnosis of vesicoureteral-reflux with reflux nephropathy with hydroureter, unspecified.
Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and potentially into the kidneys. This can lead to recurrent urinary tract infections (UTIs) and can cause reflux nephropathy, which is characterized by kidney damage due to the backflow of urine. In cases where VUR is associated with hydroureter, there is dilation of the ureter due to the increased pressure from the refluxed urine. This condition 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 surgical interventions in severe cases. Drug-induced nephropathy may also be a concern, particularly if nephrotoxic medications are used in patients with compromised renal function. Accurate coding is essential for proper treatment and reimbursement.
Detailed history of urinary symptoms, imaging studies, and treatment plans.
Management of recurrent UTIs, surgical correction of VUR.
Ensure documentation reflects the severity of reflux and any surgical interventions performed.
Comprehensive renal function tests, history of nephropathy, and medication review.
Evaluation of kidney function in patients with VUR and nephropathy.
Document any drug-induced nephropathy and its management.
Used in cases of VUR requiring surgical intervention.
Document indications for the procedure and any pre-operative evaluations.
Urology specialists should ensure all procedural details are captured.
The primary cause of vesicoureteral reflux is a congenital defect in the ureterovesical junction, which fails to close properly during bladder contraction, allowing urine to flow back into the ureters.
