2025 ICD-10-CM code Q62
Congenital obstructive defects of the renal pelvis and congenital malformations of the ureter.
Medical necessity is established by the presence of a congenital obstruction affecting the renal pelvis or ureter, potentially impacting renal function or increasing the risk of complications such as infection.
Diagnosis and management of these conditions typically fall under the purview of pediatric urologists or nephrologists. They are responsible for evaluating the extent of the obstruction, assessing renal function, and determining the appropriate course of treatment, which may range from surgical intervention to observation.
In simple words: This code represents birth defects that block the flow of urine from the kidney to the bladder.
This code encompasses a range of congenital anomalies affecting the renal pelvis and ureter, leading to obstruction of urine flow. These include conditions such as ureteropelvic junction (UPJ) obstruction, congenital ureteral strictures, and malposition of the ureter.
Example 1: A newborn infant presents with hydronephrosis detected on prenatal ultrasound. Further imaging confirms a UPJ obstruction., A toddler experiences recurrent urinary tract infections. Evaluation reveals a congenital ureteral stricture., During a surgical procedure for an unrelated condition, a malpositioned ureter causing partial obstruction is discovered.
Documentation should include imaging studies (such as ultrasound, CT scan, or MRI) demonstrating the obstruction, as well as any functional studies assessing renal function. Operative reports should detail the surgical procedure performed, if applicable.
** This code is not applicable for use on maternal records. It should be used for the infant or child with the congenital condition. Excludes2: inborn errors of metabolism (E70-E88)
- Payment Status: Active
- Specialties:Pediatric Urology, Pediatric Nephrology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office