2025 ICD-10-CM code Q62.11
Congenital occlusion of ureteropelvic junction. This is a blockage where the kidney and ureter connect.
Medical necessity for treatment of congenital UPJ obstruction is established when the blockage causes significant impairment of kidney function, recurrent urinary tract infections, or other complications. The documentation should clearly support the severity of the condition and the need for intervention.
Diagnosis and management of this condition is typically handled by pediatric urologists or nephrologists. They are responsible for evaluating the severity of the blockage, monitoring kidney function, and determining the appropriate treatment, which may include surgery.
- Q00-Q99
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Congenital malformations of the urinary system (Q60-Q64)
In simple words: A baby is born with a blockage where the kidney connects to the tube that carries urine to the bladder.
Congenital occlusion of the ureteropelvic junction (UPJ) is a birth defect where the connection between the kidney and the ureter is blocked.This blockage prevents urine from flowing properly from the kidney to the bladder.
Example 1: A newborn is diagnosed with hydronephrosis (swelling of the kidney) during a prenatal ultrasound.Further postnatal imaging reveals a congenital blockage at the ureteropelvic junction., An infant presents with recurrent urinary tract infections.Diagnostic tests reveal a congenital occlusion of the ureteropelvic junction as the underlying cause., A child experiences flank pain and abdominal mass. After diagnostic imaging, they are found to have a congenital occlusion of the ureteropelvic junction causing obstruction and subsequent hydronephrosis.
Documentation should include imaging studies (such as ultrasound, CT scan, or MRI) that demonstrate the blockage, as well as any associated findings like hydronephrosis.Clinical findings such as flank pain, abdominal mass, urinary tract infections, or failure to thrive should also be documented.
** The code Q62.11 describes a congenital condition, meaning it is present at birth. This is distinct from acquired UPJ obstruction which may occur later in life due to other causes.
- Specialties:Pediatric Urology, Pediatric Nephrology, Neonatology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office