Other exstrophy of urinary bladder
ICD-10 Q64.19 is a billable code used to indicate a diagnosis of other exstrophy of urinary bladder.
Other exstrophy of the urinary bladder is a rare congenital malformation characterized by the abnormal development of the bladder, leading to its exposure outside the body. This condition is part of a spectrum of bladder exstrophy, which can include associated anomalies such as epispadias and pelvic bone deformities. The bladder is typically formed in a way that it does not close properly, resulting in the bladder being open to the abdominal wall. This condition can lead to significant complications, including urinary incontinence, recurrent urinary tract infections, and potential renal damage due to the associated urinary tract anomalies. Management often requires surgical intervention to reconstruct the bladder and restore its normal function. Early diagnosis and intervention are crucial for improving outcomes and minimizing long-term complications. The condition may also be associated with other congenital anomalies, particularly in the urinary system, such as renal agenesis or posterior urethral valves, necessitating a multidisciplinary approach to care.
Detailed pediatric history, physical examination findings, and growth parameters are essential. Documentation should include specifics about urinary function and any associated anomalies.
Common scenarios include newborns diagnosed with bladder exstrophy during routine examinations or prenatal ultrasounds, and children requiring surgical intervention for bladder reconstruction.
Pediatric coders must be aware of the developmental implications of the condition and the potential for long-term follow-up care.
Genetic counseling notes, family history of congenital anomalies, and any genetic testing results should be documented.
Scenarios may include families seeking genetic counseling after a diagnosis of bladder exstrophy or related anomalies in a child.
Genetic coders should consider the potential for syndromic associations and the implications for family planning.
Used during surgical intervention for bladder exstrophy.
Surgical notes detailing the procedure and any complications.
Pediatric urologists should ensure accurate coding of the surgical approach.
Accurate coding of Q64.19 is crucial for ensuring appropriate reimbursement, tracking outcomes, and facilitating research on congenital urinary malformations. It also aids in the identification of associated conditions that may require additional management.
