Congenital bladder neck obstruction
ICD-10 Q64.31 is a billable code used to indicate a diagnosis of congenital bladder neck obstruction.
Congenital bladder neck obstruction (CBNO) is a condition characterized by a blockage at the bladder neck, which can impede normal urine flow from the bladder to the urethra. This obstruction can lead to various complications, including urinary retention, hydronephrosis, and potential renal impairment if not diagnosed and managed early. CBNO can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations of the urinary system, such as renal agenesis, bladder exstrophy, or posterior urethral valves. Diagnosis is typically made through imaging studies, such as ultrasound, which can reveal bladder distension and hydronephrosis. Treatment often involves surgical intervention to relieve the obstruction and restore normal urinary function. Early detection and management are crucial to prevent long-term renal damage and associated complications.
Detailed clinical notes on urinary symptoms, imaging results, and treatment plans.
Infants presenting with urinary retention, hydronephrosis detected on prenatal ultrasound, or failure to thrive due to urinary issues.
Consideration of developmental milestones and potential long-term impacts on renal function.
Genetic testing results, family history of congenital anomalies, and syndromic associations.
Cases where CBNO is part of a genetic syndrome, requiring genetic counseling and testing.
Understanding the implications of chromosomal abnormalities that may contribute to the condition.
Used in cases where surgical intervention is required to relieve bladder neck obstruction.
Document the indication for the procedure, findings during cystoscopy, and any interventions performed.
Urology specialists should ensure accurate coding of the procedure in conjunction with the diagnosis.
Congenital bladder neck obstruction can be associated with other urinary tract anomalies such as renal agenesis, bladder exstrophy, and posterior urethral valves. It is important to evaluate for these conditions during diagnosis and management.
