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ICD-10 Guide
ICD-10 CodesQ62.69

Q62.69

Billable

Other malposition of ureter

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q62.69 is a billable code used to indicate a diagnosis of other malposition of ureter.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of malposition
  • Need for imaging studies to confirm diagnosis
  • Potential for associated congenital anomalies
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of the specific type of malposition
  • Failure to document associated congenital anomalies
  • Lack of clarity on the surgical interventions performed
  • Misclassification of the condition as an acquired anomaly

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, physical examination findings, and imaging results are essential for accurate coding.

Common Clinical Scenarios

Common scenarios include newborns presenting with urinary obstruction, recurrent UTIs, or abnormal ultrasound findings.

Billing Considerations

Consideration of growth and development impacts on urinary function and the need for long-term follow-up.

Genetics

Documentation Requirements

Genetic testing results, family history of congenital anomalies, and genetic counseling notes are critical.

Common Clinical Scenarios

Scenarios may include families with a history of congenital urinary tract anomalies seeking genetic counseling.

Billing Considerations

Understanding the genetic basis of conditions like polycystic kidney disease and their inheritance patterns.

Coding Guidelines

Inclusion Criteria

Use Q62.69 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring specificity in documentation and coding for associated anomalies
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use Q62.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

50590CPT Code

Ureteral reimplantation

Clinical Scenario

Used in cases of ectopic ureter or ureteral obstruction.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Pediatric urology specialists should document the specifics of the surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to capture the complexity of cases involving malposition of the ureter and associated anomalies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to capture the complexity of cases involving malposition of the ureter and associated anomalies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to capture the complexity of cases involving malposition of the ureter and associated anomalies.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common presentations of ureteral malposition?

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.