Congenital hydronephrosis
ICD-10 Q62.0 is a billable code used to indicate a diagnosis of congenital hydronephrosis.
Congenital hydronephrosis is a condition characterized by the abnormal dilation of the renal pelvis and calyces due to obstruction of urine flow from the kidney. This obstruction can occur at various points in the urinary tract, often resulting from congenital malformations such as ureteropelvic junction obstruction, posterior urethral valves, or renal agenesis. In pediatric patients, hydronephrosis can lead to renal impairment if not diagnosed and managed promptly. The condition may be detected prenatally via ultrasound, where increased renal size is noted. Postnatally, symptoms may include abdominal distension, urinary tract infections, or failure to thrive. Management often involves surgical intervention to relieve the obstruction and prevent further renal damage. Early diagnosis and treatment are crucial to preserving kidney function and preventing complications such as hypertension or chronic kidney disease.
Detailed clinical notes on the patient's history, physical examination findings, and imaging results.
Neonates presenting with antenatal hydronephrosis, infants with urinary tract infections, and children with abdominal pain.
Consideration of growth and development milestones in relation to renal function.
Genetic testing results, family history of congenital anomalies, and any syndromic associations.
Patients with syndromic presentations such as VACTERL association or Turner syndrome.
Awareness of chromosomal abnormalities that may predispose to urinary tract malformations.
Used in cases of obstructive hydronephrosis requiring intervention.
Operative report detailing the procedure and indication.
Urology specialists should provide detailed operative notes.
Congenital hydronephrosis is present at birth due to developmental anomalies, while acquired hydronephrosis develops later due to factors such as obstruction from stones or tumors.
