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2025 ICD-10-CM code Q62.1

Congenital occlusion of the ureter.

This code should only be used when there is a complete blockage of the ureter.Use other Q62 codes for partial obstructions or other malformations. Ensure proper documentation supports the diagnosis.

Medical necessity is established by the presence of congenital ureteral occlusion causing significant hydronephrosis, impaired renal function, or recurrent UTIs.Surgical intervention or other management strategies may be necessary to alleviate symptoms and prevent long-term damage.

Urologist, nephrologist, or other specialists managing congenital urinary tract abnormalities.

IMPORTANT:Refer to related codes Q62.0 (Congenital hydronephrosis), Q62.2 (Congenital megaloureter), and other Q62 codes for related conditions.

In simple words: A congenital occlusion of the ureter is a blockage of the tube that carries urine from the kidney to the bladder, present from birth.

Congenital occlusion of the ureter is a complete blockage of the ureter due to a birth defect.This ICD-10-CM code specifically addresses the complete blockage of the ureter, a congenital anomaly affecting the urinary tract.

Example 1: A newborn infant presents with unilateral hydronephrosis and is found to have complete ureteral atresia., A child with recurrent urinary tract infections (UTIs) is diagnosed with bilateral ureteral atresia after imaging studies reveal complete blockage., A fetus is diagnosed with complete ureteral occlusion during prenatal ultrasound, requiring prompt intervention after birth.

Prenatal ultrasound reports (if applicable), postnatal imaging studies (e.g., renal ultrasound, voiding cystourethrogram, intravenous pyelogram), laboratory results (e.g., urinalysis, blood tests), operative reports, and pathology reports (if applicable).Detailed clinical notes documenting the diagnosis and management are crucial.

** This code is not used for maternal records.Appropriate additional codes should be used to specify laterality (unilateral or bilateral) and other associated findings, when applicable. Always cross-reference with other relevant diagnostic codes for a complete clinical picture.

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