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ICD-10 Guide
ICD-10 CodesQ62.8

Q62.8

Billable

Other congenital malformations of ureter

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

Code Description

ICD-10 Q62.8 is a billable code used to indicate a diagnosis of other congenital malformations of ureter.

Key Diagnostic Point:

Congenital malformations of the ureter can encompass a variety of structural abnormalities that may affect the normal function of the urinary system. These malformations can include conditions such as ureteral duplication, ectopic ureters, and ureteral stenosis. In pediatric patients, these anomalies can lead to significant complications, including urinary obstruction, recurrent urinary tract infections, and renal impairment. For instance, renal agenesis, where one or both kidneys fail to develop, can be associated with ureteral anomalies. Polycystic kidney disease, characterized by the formation of cysts in the kidneys, may also present with ureteral malformations. Bladder exstrophy, a condition where the bladder is exposed outside the body, often coexists with ureteral defects. Posterior urethral valves, a condition where abnormal tissue obstructs the urethra, can lead to hydronephrosis and renal damage, necessitating careful monitoring and intervention. Accurate coding of these conditions is essential for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of ureteral malformations
  • Need for detailed anatomical descriptions in documentation
  • Potential for co-occurring congenital anomalies
  • Differentiation from acquired conditions

Audit Risk Factors

  • Inadequate documentation of the specific type of malformation
  • Failure to document associated conditions or anomalies
  • Misclassification of congenital versus acquired conditions
  • Lack of clarity in the clinical rationale for procedures performed

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of the malformation, associated symptoms, and any interventions performed. Growth and developmental assessments are also critical.

Common Clinical Scenarios

Common scenarios include newborns presenting with hydronephrosis, children with recurrent UTIs, and cases requiring surgical intervention for ureteral anomalies.

Billing Considerations

Consideration must be given to the age of the patient and the potential for growth-related changes in the urinary system.

Genetics

Documentation Requirements

Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital malformations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital urinary tract anomalies or syndromes associated with renal malformations.

Billing Considerations

Geneticists should be aware of the potential for chromosomal abnormalities that may present with urinary tract malformations.

Coding Guidelines

Inclusion Criteria

Use Q62.8 When
  • Official coding guidelines for congenital conditions emphasize the importance of specificity in documentation, including the type of malformation, associated conditions, and any interventions performed
  • Coders should ensure that the diagnosis is supported by clinical findings

Exclusion Criteria

Do NOT use Q62.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

50590CPT Code

Ureteral reimplantation

Clinical Scenario

Used in cases of ureteral malformations requiring surgical correction.

Documentation Requirements

Surgical reports detailing the procedure and indications.

Specialty Considerations

Pediatric urologists should ensure accurate coding based on the specific malformation addressed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital malformations, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 congenital malformations of the ureter?

Common congenital malformations include ureteral duplication, ectopic ureters, and ureteral stenosis. These conditions can lead to significant urinary tract complications and require careful management.