2025 ICD-10-CM code Q63.1
This code represents a congenital malformation where the kidneys are lobulated, fused together, or shaped like a horseshoe.
Medical necessity for services related to Q63.1 is established by the presence of the congenital malformation and any associated signs, symptoms, or complications requiring medical intervention.
Diagnosis and management of this condition are typically overseen by nephrologists (kidney specialists), urologists, and potentially pediatricians if the condition is diagnosed in childhood.
- 7 (Congenital malformations, deformations and chromosomal abnormalities)
- Q60-Q64 (Congenital malformations of the urinary system)
In simple words: This code indicates that the person was born with kidneys that are joined together, shaped like a horseshoe, or have an abnormal, lumpy surface.
Lobulated, fused, and horseshoe kidney are congenital anomalies affecting the shape and position of the kidneys.A lobulated kidney has an irregular, lumpy surface.Fused kidneys occur when the two kidneys join together, typically at the lower ends.A horseshoe kidney is a type of fused kidney where the kidneys are connected at the lower poles, forming a horseshoe shape.
Example 1: A newborn infant is found to have a horseshoe kidney during an ultrasound examination., An adult undergoes imaging for abdominal pain, revealing a fused kidney., A child with recurrent urinary tract infections is diagnosed with a lobulated kidney.
Documentation should include imaging studies (such as ultrasound, CT, or MRI) confirming the presence and type of kidney malformation.Medical history, physical examination findings, and any associated complications should also be documented.
** Congenital nephrotic syndrome (N04.-) is excluded from this code.
- Payment Status: Active
- Specialties:Nephrology, Urology, Pediatrics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic