Deviation of ureter
ICD-10 Q62.61 is a billable code used to indicate a diagnosis of deviation of ureter.
Deviation of the ureter is a congenital malformation characterized by an abnormal positioning or angulation of the ureter, which can lead to urinary obstruction, reflux, or other complications. This condition may occur in isolation or as part of a syndrome involving other urinary tract anomalies. Congenital malformations of the urinary system, such as renal agenesis, polycystic kidney disease, bladder exstrophy, and posterior urethral valves, can complicate the clinical picture. Renal agenesis involves the absence of one or both kidneys, while polycystic kidney disease is characterized by the presence of multiple cysts in the kidneys, leading to renal dysfunction. Bladder exstrophy is a severe defect where the bladder is exposed outside the body, and posterior urethral valves can obstruct urine flow in males. Accurate diagnosis often requires imaging studies, such as ultrasound or MRI, and may necessitate surgical intervention to correct the deviation and restore normal urinary function.
Documentation should include detailed descriptions of the urinary tract anomalies, imaging results, and any surgical interventions performed.
Common scenarios include newborns presenting with urinary obstruction or recurrent urinary tract infections due to ureteral deviations.
Pediatric coders must be aware of the developmental implications of urinary tract anomalies and their management.
Genetic evaluations should document any syndromic associations with congenital urinary tract anomalies, including family history and genetic testing results.
Genetic counseling may be required for families with a history of congenital urinary tract anomalies or when associated with chromosomal abnormalities.
Coders should be familiar with genetic syndromes that may present with urinary tract malformations, such as Turner syndrome or trisomy 18.
Used in cases of ureteral deviation causing obstruction.
Surgical notes must detail the procedure and any findings related to the deviation.
Pediatric urologists should ensure accurate coding of the surgical intervention.
Accurate coding of Q62.61 is crucial for proper management of congenital urinary anomalies, as it impacts treatment decisions, surgical interventions, and long-term outcomes for affected patients. It also ensures appropriate reimbursement and resource allocation in healthcare settings.
