Congenital prolapse of urethra
ICD-10 Q64.71 is a billable code used to indicate a diagnosis of congenital prolapse of urethra.
Congenital prolapse of the urethra is a rare condition characterized by the abnormal protrusion of the urethra through the vaginal opening in females or the external urethral meatus in males. This condition can occur as an isolated anomaly or in conjunction with other congenital malformations of the urinary system, such as renal agenesis, bladder exstrophy, or posterior urethral valves. The pathophysiology often involves a combination of genetic and environmental factors that disrupt normal urethral development during fetal growth. Clinical presentation may include urinary incontinence, recurrent urinary tract infections, and discomfort. Diagnosis is typically made through physical examination and imaging studies, such as ultrasound or voiding cystourethrogram, to assess the extent of the prolapse and any associated anomalies. Management may involve surgical intervention to correct the prolapse and address any underlying urinary tract abnormalities. Early diagnosis and treatment are crucial to prevent complications and improve quality of life for affected individuals.
Documentation must include detailed descriptions of the child's symptoms, physical examination findings, and any imaging studies performed.
Common scenarios include a newborn presenting with urinary incontinence or a toddler with recurrent urinary tract infections.
Pediatric coders should be aware of the developmental implications of the condition and the potential need for multidisciplinary care.
Genetic documentation should include family history, genetic testing results, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of congenital urinary anomalies.
Genetic coders must consider the potential for chromosomal abnormalities that may be associated with congenital urinary malformations.
Used in surgical management of congenital urethral prolapse.
Surgical notes must detail the procedure performed and any associated findings.
Pediatric urologists should ensure accurate coding for surgical interventions.
Common associated conditions include bladder exstrophy, posterior urethral valves, and renal agenesis. It is essential to evaluate for these anomalies during diagnosis.
