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ICD-10 Guide
ICD-10 CodesQ27.34

Q27.34

Billable

Arteriovenous malformation of renal vessel

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q27.34 is a billable code used to indicate a diagnosis of arteriovenous malformation of renal vessel.

Key Diagnostic Point:

Arteriovenous malformation (AVM) of the renal vessel is a congenital condition characterized by an abnormal connection between the arteries and veins in the kidney. This malformation can lead to various complications, including renal hemorrhage, hypertension, and renal insufficiency. AVMs may be asymptomatic or present with symptoms such as hematuria, flank pain, or abdominal swelling. Diagnosis is typically made through imaging studies such as ultrasound, CT scan, or MRI, which can visualize the abnormal vascular connections. Treatment options may include surgical intervention, embolization, or monitoring, depending on the severity and symptoms. Understanding the implications of renal AVMs is crucial, especially in pediatric patients, as they may affect growth and development. Early detection and management are essential to prevent complications and ensure optimal outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms among patients
  • Need for precise imaging interpretation
  • Potential for associated congenital anomalies
  • Differentiation from other vascular anomalies

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to document associated symptoms
  • Misclassification of AVM severity
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and specific symptoms related to renal function.

Common Clinical Scenarios

Common scenarios include a pediatric patient presenting with hematuria or hypertension, requiring imaging to assess for renal AVM.

Billing Considerations

Considerations include the impact of renal AVM on growth and development, as well as the need for multidisciplinary management.

Genetics

Documentation Requirements

Genetic documentation should include family history of vascular anomalies and any syndromic associations.

Common Clinical Scenarios

Genetic counseling may be needed for families with a history of congenital vascular malformations.

Billing Considerations

Considerations include the potential for hereditary syndromes that may predispose to AVMs.

Coding Guidelines

Inclusion Criteria

Use Q27.34 When
  • Follow official ICD
  • 10 guidelines for congenital conditions, ensuring accurate documentation of clinical findings, imaging results, and treatment plans
  • Ensure that any associated congenital anomalies are also coded appropriately

Exclusion Criteria

Do NOT use Q27.34 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

37204CPT Code

Embolization of renal AVM

Clinical Scenario

Used when a renal AVM requires interventional treatment.

Documentation Requirements

Document indications for embolization and imaging findings.

Specialty Considerations

Interventional radiology may be involved in the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of renal arteriovenous malformation?

Common symptoms include hematuria, flank pain, hypertension, and abdominal swelling. Some patients may be asymptomatic and diagnosed incidentally.