Duplication of ureter
ICD-10 Q62.5 is a billable code used to indicate a diagnosis of duplication of ureter.
Duplication of the ureter is a congenital anomaly characterized by the presence of two ureters on one side of the body, which can occur in isolation or as part of a syndrome. This condition can lead to various complications, including urinary obstruction, vesicoureteral reflux, and recurrent urinary tract infections. In pediatric patients, the duplication may be asymptomatic or present with symptoms such as abdominal pain, hematuria, or urinary incontinence. Diagnosis is typically made through imaging studies such as ultrasound, CT, or MRI, which can visualize the duplicated ureter. Management may involve surgical intervention, especially if there are associated complications. Understanding the implications of this condition is crucial for pediatricians and urologists, as it can affect renal function and overall urinary health. Additionally, it is important to consider the potential for associated congenital malformations of the urinary system, such as renal agenesis or bladder exstrophy, which may require comprehensive evaluation and management.
Detailed clinical history, physical examination findings, imaging results, and treatment plans must be documented.
Pediatric patients presenting with recurrent UTIs or abdominal pain may require evaluation for ureteral duplication.
Consideration of associated anomalies and the impact on renal function is essential for accurate coding.
Genetic evaluation may be necessary to assess for syndromic associations with ureteral duplication.
Patients with a family history of congenital anomalies may require genetic counseling.
Documentation should include any genetic testing results and implications for family planning.
Used when surgical intervention is required for duplicated ureter.
Surgical notes detailing the procedure and indication for surgery.
Urology specialists should ensure accurate coding of the procedure in relation to the diagnosis.
Common complications include urinary obstruction, vesicoureteral reflux, and recurrent urinary tract infections. These complications may necessitate surgical intervention and ongoing management.
