2025 ICD-10-CM code Q62.31
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Congenital malformations - Other obstructive defects of renal pelvis and ureter Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Feed
Congenital ureterocele, orthotopic.
Modifiers may apply depending on the specific circumstances of the encounter.Consult the appropriate modifier guidelines.
The medical necessity for coding Q62.31 is established through the clinical findings supporting the diagnosis of a congenital orthotopic ureterocele.This may include symptoms of urinary tract obstruction (e.g., recurrent UTIs, abdominal distention, poor kidney function), imaging findings, and/or surgical findings. The appropriate level of investigation will depend on the age and clinical presentation of the patient.
Urologist, nephrologist, pediatrician (depending on patient age and other factors).
- Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- Q62.3 Other obstructive defects of renal pelvis and ureter
In simple words: This code refers to a birth defect where the tube connecting the kidney to the bladder (ureter) is abnormally swollen or balloon-like, but is in its correct place.
This code describes a congenital ureterocele that is located in its normal anatomical position (orthotopic). A ureterocele is a cystic dilation of the distal ureter, usually near its opening into the bladder.The condition is congenital, meaning it is present from birth.The orthotopic specification indicates the ureterocele is in its usual place within the urinary tract.
Example 1: A newborn infant presents with symptoms of urinary tract obstruction. Imaging studies reveal a congenital ureterocele, confirmed as orthotopic.Code Q62.31 is used to document this diagnosis., A child with a history of recurrent urinary tract infections undergoes an evaluation that reveals an orthotopic ureterocele.The condition is documented with Q62.31., During a prenatal ultrasound, a ureterocele is detected. Postnatally, it is confirmed as orthotopic. Q62.31 is used for the diagnosis.
Prenatal ultrasound reports, postnatal imaging studies (e.g., voiding cystourethrogram (VCUG), renal ultrasound), surgical reports (if applicable), and clinical notes describing the patient's symptoms and findings.
** This code is not applicable to maternal records.Always ensure that the documentation clearly supports the diagnosis of a congenital, orthotopic ureterocele to accurately apply this code.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Urology, Nephrology, Pediatric Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Ambulatory Surgical Center