Congenital prolapse of urinary meatus
ICD-10 Q64.72 is a billable code used to indicate a diagnosis of congenital prolapse of urinary meatus.
Congenital prolapse of the urinary meatus is a rare condition characterized by the abnormal protrusion of the urinary meatus, which is the external opening of the urethra. 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 etiology of this condition is often multifactorial, involving genetic predispositions and environmental factors during fetal development. Clinically, it may present with symptoms such as urinary incontinence, recurrent urinary tract infections, or discomfort. Diagnosis is typically made through physical examination and imaging studies, which may include ultrasound or voiding cystourethrogram. Management may involve surgical intervention to correct the prolapse and address any associated urinary tract anomalies. Early diagnosis and treatment are crucial to prevent complications and improve the quality of life for affected individuals.
Pediatric documentation should include detailed birth history, developmental milestones, and any associated congenital anomalies. Specific attention should be given to urinary symptoms and their impact on the child's quality of life.
Common scenarios include a newborn presenting with urinary incontinence or recurrent UTIs, requiring evaluation for congenital urinary tract anomalies.
Accurate coding requires a thorough understanding of the child's complete medical history and any surgical interventions performed.
Genetic documentation should include family history of congenital anomalies, results of genetic testing, and any syndromic associations.
Genetic counseling may be needed for families with a history of congenital urinary tract anomalies, especially if there are syndromic associations.
Consideration of chromosomal abnormalities that may be associated with urinary tract malformations is essential for accurate coding.
Used when surgical intervention is performed to correct congenital prolapse of the urinary meatus.
Documentation must include details of the surgical procedure, indications, and any associated conditions.
Pediatric urologists may have specific protocols for documenting surgical interventions in congenital cases.
Common associated conditions include renal agenesis, bladder exstrophy, and posterior urethral valves. These conditions may require comprehensive evaluation and management in conjunction with the prolapse.
