2025 ICD-10-CM code Q62.3
Other obstructive defects of renal pelvis and ureter. This condition describes congenital anomalies causing blockage of urine flow from the kidney to the bladder.
Medical necessity for intervention is established by demonstrating the presence of significant obstruction causing symptoms, impaired renal function, or recurrent infections. The chosen treatment approach (e.g., surgical repair, observation) must be justified based on the individual patient's clinical condition and the severity of the obstruction.
Diagnosis and management of this condition typically falls under pediatric urologists or nephrologists.They are responsible for evaluating the extent of the obstruction, assessing kidney function, and determining the appropriate course of treatment, which may include surgical intervention.
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q62-Q64 Congenital malformations of the urinary system
In simple words: This code describes a birth defect where the path for urine to flow from the kidney to the bladder is blocked.
Other obstructive defects of renal pelvis and ureter encompasses congenital anomalies that obstruct the normal flow of urine from the kidney's renal pelvis into the ureter, the tube connecting the kidney to the bladder.These obstructions can lead to various complications, including hydronephrosis (swelling of the kidney due to urine buildup).
Example 1: A newborn infant presents with hydronephrosis detected on prenatal ultrasound. Further imaging reveals a congenital narrowing (stenosis) of the ureter, causing obstruction and requiring surgical repair., An infant experiences recurrent urinary tract infections. Diagnostic tests show an abnormal fold of tissue within the renal pelvis causing intermittent blockage of urine flow, coded as Q62.3., A child undergoes evaluation for abdominal pain and is found to have a congenital ureterocele (a cyst-like dilation of the lower end of the ureter) that is partially obstructing urine flow and necessitates surgical correction. This would be further specified with Q62.31 or Q62.32.
Documentation should include imaging studies (such as ultrasound, CT scan, or MRI) demonstrating the specific obstructive defect, along with details of any associated hydronephrosis or kidney damage.Operative reports should describe the surgical procedure performed to correct the obstruction. Clinical notes should document the patient's symptoms, physical examination findings, and treatment plan.
** For more specific coding, refer to iFrameAI for updated and accurate code classifications. If a more precise subcategory code exists (e.g., Q62.31, Q62.32), it should be used instead of Q62.3.
- Specialties:Pediatric Urology, Pediatric Nephrology, Neonatology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office