Other malposition of ureter
ICD-10 Q62.69 is a billable code used to indicate a diagnosis of other malposition of ureter.
Other malposition of the ureter refers to congenital anomalies where the ureter is not positioned correctly, which can lead to various complications in urinary function. This condition may manifest as ectopic ureters, where the ureter drains into an abnormal location, or as ureteral duplication, where two ureters arise from one kidney. These malpositions can result in urinary obstruction, recurrent urinary tract infections, and renal damage if not diagnosed and managed appropriately. Congenital malformations of the urinary system, such as renal agenesis (absence of one or both kidneys), polycystic kidney disease (a genetic disorder characterized by the growth of numerous cysts in the kidneys), and bladder exstrophy (a defect where the bladder is exposed outside the body), can be associated with ureteral malposition. Additionally, posterior urethral valves, which are obstructive membranes in the urethra of male infants, can complicate the clinical picture. Early detection through imaging studies and appropriate surgical interventions are crucial for managing these conditions effectively.
Detailed pediatric history, physical examination findings, and imaging results are essential for accurate coding.
Common scenarios include newborns presenting with urinary obstruction, recurrent UTIs, or abnormal ultrasound findings.
Consideration of growth and development impacts on urinary function and the need for long-term follow-up.
Genetic testing results, family history of congenital anomalies, and genetic counseling notes are critical.
Scenarios may include families with a history of congenital urinary tract anomalies seeking genetic counseling.
Understanding the genetic basis of conditions like polycystic kidney disease and their inheritance patterns.
Used in cases of ectopic ureter or ureteral obstruction.
Operative report detailing the procedure and indications.
Pediatric urology specialists should document the specifics of the surgical approach.
Common presentations include urinary obstruction, recurrent urinary tract infections, and abnormal findings on prenatal ultrasounds. Symptoms may vary based on the specific type of malposition and associated anomalies.