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2025 ICD-10-CM code Q62.6

Malposition of the ureter.

Code selection should reflect the specific type of ureteral malposition.Additional codes may be needed to specify associated conditions (e.g., hydronephrosis, vesicoureteral reflux).

Modifiers may be applicable depending on the circumstances of the encounter and the services provided (e.g., bilateral involvement).

Medical necessity is established by the presence of symptoms or complications related to the ureteral malposition, such as recurrent urinary tract infections, hydronephrosis, or renal damage. Imaging studies confirming the malposition are crucial for supporting medical necessity.

Urologist, Nephrologist, Pediatrician (if the patient is a child)

IMPORTANT:The code may be used in conjunction with other codes to specify the exact type of malposition (e.g., ectopic ureter, anomalous implantation).

In simple words: This code describes a birth defect where the tube connecting the kidney to the bladder (ureter) is in the wrong place. This happens because the tube didn't form correctly while the baby was developing in the womb.

Q62.6, Malposition of ureter, refers to an abnormal positioning of one or both ureters.This congenital condition arises during fetal development due to improper tissue formation. The ureter, a tube carrying urine from the kidney to the bladder, is found in an unusual location.This malposition can manifest as deviation, displacement, ectopic ureter, or anomalous implantation of the ureter or ureteric orifice.

Example 1: A newborn infant is diagnosed with a right ectopic ureter inserting into the vagina, requiring surgical correction., A child presents with recurrent urinary tract infections due to a malpositioned left ureter resulting in incomplete bladder emptying., An adult is found to have a duplicated ureter during an investigation for flank pain and hematuria.

Prenatal ultrasound findings (if available), postnatal imaging studies (ultrasound, CT, MRI) demonstrating the ureteral malposition, clinical findings (e.g., urinary tract infections, hydronephrosis, flank pain), surgical reports (if applicable), and pathology reports.

** This code is for use in classifying congenital malformations and is not applicable to acquired conditions. The code should only be assigned when the malposition is confirmed through imaging studies.

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