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ICD-10 Guide
ICD-10 CodesChapter 17: Congenital malformations and chromosomal abnormalitiesQ62

Q62

Non-billable

Congenital obstructive defects of renal pelvis and congenital malformations of ureter

Chapter 17:Congenital malformations and chromosomal abnormalities

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 Q62 is a used to indicate a diagnosis of congenital obstructive defects of renal pelvis and congenital malformations of ureter.

Key Diagnostic Point:

The ICD-10 Level 1 Category code Q62 encompasses congenital obstructive defects of the renal pelvis and congenital malformations of the ureter. These conditions typically arise during fetal development and can lead to significant urinary tract complications if not diagnosed and managed appropriately. Common conditions under this category include hydronephrosis due to ureteropelvic junction obstruction, ureteral duplication, and other structural anomalies that can impede normal urine flow, potentially resulting in kidney damage or infection. Early detection through imaging studies and appropriate intervention is crucial for preventing long-term renal impairment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of conditions
  • Need for imaging and diagnostic confirmation
  • Potential for surgical intervention and follow-up care

Audit Risk Factors

  • Inconsistent documentation of congenital anomalies
  • Misclassification of the severity of the defect
  • Lack of follow-up documentation for surgical procedures

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Pediatrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the Q62 code category is significant, as it relates to the management of congenital urinary tract defects that can affect patient quality of life and long-term health outcomes. Proper coding and documentation can improve quality measures related to pediatric urology care and help track population health trends regarding congenital anomalies. Additionally, understanding the implications of these conditions can guide healthcare providers in developing preventive strategies and interventions that address the needs of affected patients.

ICD-9 vs ICD-10

The clinical and administrative impact of the Q62 code category is significant, as it relates to the management of congenital urinary tract defects that can affect patient quality of life and long-term health outcomes. Proper coding and documentation can improve quality measures related to pediatric urology care and help track population health trends regarding congenital anomalies. Additionally, understanding the implications of these conditions can guide healthcare providers in developing preventive strategies and interventions that address the needs of affected patients.

Reimbursement & Billing Impact

reimbursement. Providers must ensure that all relevant clinical information is included in the patient's medical record, including diagnostic imaging reports and treatment plans. It is also important to be aware of the specific payer policies regarding congenital anomalies, as reimbursement may vary based on the severity and complexity of the condition. Accurate coding is essential to avoid claim denials and ensure timely payment.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for Q62

Coding & Billing References

  • •
    Official ICD-10 Guidelines for Q62

Frequently Asked Questions

What conditions are included in Q62?

Q62 includes congenital obstructive defects such as ureteropelvic junction obstruction, congenital malformations of the ureter, and other structural anomalies affecting the renal pelvis and ureters.

When should I use Q62 codes?

Q62 codes should be used when a patient is diagnosed with congenital obstructive defects of the renal pelvis or malformations of the ureter, particularly when these conditions are confirmed through imaging or surgical findings.

What documentation is required for Q62?

Documentation must include a clear diagnosis of the congenital defect, imaging results that confirm the condition, and any surgical or treatment interventions performed. Detailed clinical notes are essential for accurate coding.