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2025 ICD-10-CM code Q63.2

Ectopic kidney: A congenital condition where one or both kidneys are located outside their normal position.

This code should be used to report only a congenital anomaly of kidney location.It should not be used to report acquired conditions causing kidney displacement.Accurate anatomical localization of the ectopic kidney should be documented.Use of additional codes may be necessary to capture associated anomalies or complications.

Medical necessity for treatment of an ectopic kidney is established when symptoms are present (e.g., recurrent infections, obstruction, pain, or impaired renal function) or when the ectopic location poses a risk of complications.In cases where the ectopic kidney is asymptomatic and functionally normal, intervention may not be medically necessary.

Urologist, nephrologist, pediatrician (depending on patient age and presentation)

IMPORTANT:Related codes include Q63.0 (Accessory kidney), Q63.1 (Lobulated, fused, and horseshoe kidney), Q63.3 (Hyperplastic and giant kidney), and other codes within the Q63 range describing various congenital kidney malformations.Note that N04.- (Congenital nephrotic syndrome) is excluded.

In simple words: An ectopic kidney means that one or both kidneys are not in their usual place in the body.This is a condition present from birth and might cause problems with kidney function later in life.

Q63.2, Ectopic kidney, signifies a congenital anomaly characterized by the presence of one or both kidneys in an abnormal location.This malposition can range from slightly displaced to significantly ectopic, potentially impacting renal function and increasing the risk of complications such as urinary tract infections, hydronephrosis, and renal calculi.The ectopic kidney may be located anywhere along the normal migratory pathway, including the pelvis, abdomen, or even the thorax.Thorough clinical evaluation, including imaging studies like ultrasound, CT scan, or MRI, is essential for accurate diagnosis and management.

Example 1: A newborn infant presents with an abdominal mass, identified on physical examination as an ectopic kidney.Ultrasound confirms the diagnosis, and the infant is monitored for potential complications., A young adult experiences recurrent urinary tract infections.Imaging reveals a pelvic ectopic kidney with partial obstruction of the ureter, requiring surgical intervention., An adult undergoes imaging for unrelated reasons and incidentally discovers an ectopic kidney.The kidney is functionally normal, and no intervention is needed, but regular monitoring is recommended.

Complete history and physical examination, including any symptoms related to renal function or location. Imaging studies such as ultrasound, CT scan, or MRI confirming the diagnosis and specifying the location and any associated anomalies.Relevant laboratory tests assessing renal function.Documentation of any interventions or follow-up care.

** Further sub-classification may be needed to specify the location (e.g., pelvic, thoracic) and laterality (unilateral, bilateral) of the ectopic kidney.Consider using additional ICD-10 codes to capture any associated malformations or complications.

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