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2025 ICD-10-CM code Q60.6

Potter's syndrome

Code Q60.6 should be used for cases where the characteristic features of Potter sequence are present, regardless of the specific underlying kidney abnormality. The underlying kidney abnormality, if known, should also be coded.

The medical necessity for the care of a patient with Potter sequence stems from the life-threatening complications associated with the syndrome, primarily pulmonary hypoplasia and renal failure. Treatment focuses on managing these complications, although the prognosis is often poor.

In simple words: Potter's syndrome is a condition where a baby's kidneys don't develop properly, leading to low amniotic fluid levels. This can cause problems with the baby's lungs, face, and limbs.

Potter's syndrome is a group of findings associated with a lack of amniotic fluid and kidney abnormalities in a developing baby. This condition is characterized by pulmonary hypoplasia (underdeveloped lungs), abnormalities of the face and limbs due to the compression in the uterus and low-set ears.

Example 1: A newborn infant presents with characteristic facial features (low-set ears, flattened nose, receding chin) and respiratory distress. Ultrasound reveals bilateral renal agenesis (absence of both kidneys). This clinical picture is consistent with Potter sequence., A fetus at 20 weeks gestation is found to have oligohydramnios (low amniotic fluid) on ultrasound. Further imaging shows small, underdeveloped kidneys. The mother is counseled about the possibility of Potter sequence and the poor prognosis associated with it., An infant born prematurely dies shortly after birth due to respiratory failure. Autopsy findings include pulmonary hypoplasia and bilateral renal dysplasia (abnormal kidney development). These findings are indicative of Potter sequence.

Documentation should include imaging findings (ultrasound, possibly MRI) confirming kidney abnormalities, physical exam findings describing characteristic facial features and limb deformities, and assessment of respiratory function. Amniotic fluid levels should also be documented.

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