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2025 ICD-10-CM code Q63.0

Accessory kidney is a congenital anomaly characterized by the presence of an extra kidney.

Ensure proper coding of any associated conditions or complications. The code should only be used for the accessory kidney itself; do not use it for other congenital anomalies of the urinary system unless this condition is also present.The code should be applied to the encounter where the diagnosis was confirmed.

Modifiers are not typically used with ICD-10 codes.

Medical necessity for treatment of an accessory kidney is typically determined by the presence of associated symptoms or complications.Routine monitoring might be needed depending on kidney size, function, and associated anomalies.Surgical intervention is indicated only when there is evidence of urinary tract obstruction, infections, or other related problems impacting renal health.

The clinical responsibility for diagnosing and managing an accessory kidney involves various medical professionals.Initial diagnosis often rests with radiologists interpreting imaging studies. Urologists might be consulted for further evaluation if complications or associated abnormalities are suspected.Pediatricians or family physicians typically provide ongoing care and monitoring for children with this condition. Genetic counseling might be considered in some cases.

IMPORTANT:Excludes1: congenital nephrotic syndrome (N04.-)

In simple words: An accessory kidney means a person is born with an extra kidney besides the usual two.This extra kidney might work normally, or it might not do much. Most of the time, there are no problems, but sometimes it can be linked to other health issues.

Q63.0, Accessory kidney, in the ICD-10-CM classification, denotes the presence of a supernumerary kidney, a congenital anomaly where an individual is born with an additional kidney alongside their normal pair.This extra kidney can vary in size and functionality, ranging from a rudimentary structure to a fully functional organ.The condition may be unilateral or bilateral, and it often presents without any associated symptoms or complications. However, in some cases, it can be linked to other urinary tract abnormalities or systemic conditions. The diagnosis is typically made through imaging techniques such as ultrasound, CT scan, or MRI.

Example 1: A newborn infant undergoes an ultrasound as part of routine neonatal screening, which reveals the presence of an accessory kidney. The kidney is small and appears non-functional, and no further intervention is required., During a routine physical examination, an adult patient's abdominal ultrasound shows an extra kidney, fully developed and functioning normally. No treatment is recommended, but follow-up imaging is scheduled., A patient presents with recurrent urinary tract infections, and imaging studies reveal an accessory kidney with a significant anatomical anomaly, leading to urinary obstruction. The patient undergoes surgical correction of the anomaly.

Detailed clinical history, physical examination findings, radiological imaging reports (ultrasound, CT scan, MRI), any associated symptoms or complications, and results of relevant laboratory tests.Genetic testing may be needed depending on the clinical picture.

** The presence of an accessory kidney is usually an incidental finding.The clinical significance depends largely on whether there are related complications.The absence of symptoms often requires no further interventions.

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