ICD-10 Coding for Pelviectasis(Q62.39, Q62.1)
Complete ICD-10-CM coding and documentation guide for Pelviectasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pelviectasis
Q62.3-Q62.39Primary Range
Congenital obstructive defects of renal pelvis and ureter
This range includes codes for congenital pelviectasis, which is often diagnosed prenatally.
Hydroureteronephrosis
This range is used for acquired conditions related to ureteral obstruction and dilation, applicable in adults.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q62.39 | Other obstructive defects of renal pelvis and ureter | Use for congenital pelviectasis diagnosed prenatally or postnatally without specific obstruction type. |
|
| Q62.1 | Congenital occlusion of ureter | Use when UPJ obstruction is confirmed postnatally. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for pelviectasis
Essential facts and insights about Pelviectasis
Primary ICD-10-CM Codes for pelviectasis
Decision Criteria
clinical Criteria
- AP diameter ≥7mm in prenatal ultrasound
documentation Criteria
- Specify congenital nature and absence of specific obstruction
Applicable To
- Congenital pelviectasis without specific obstruction type
Excludes
- Acquired pelviectasis (N13.30)
Clinical Validation Requirements
- AP diameter ≥7mm in the third trimester
- Ultrasound findings showing renal pelvis dilation
Code-Specific Risks
- Incorrectly using adult codes for congenital cases
- Not specifying laterality
Coding Notes
- Ensure documentation specifies congenital nature and AP diameter.
Q62.1 - Congenital occlusion of ureter
Use when UPJ obstruction is confirmed postnatally.
Applicable To
- UPJ obstruction confirmed postnatally
Excludes
- Acquired ureteral obstruction (N13.3-)
Clinical Validation Requirements
- Postnatal ultrasound confirming ureteropelvic junction obstruction
Coding Notes
Ensure postnatal confirmation of UPJ obstruction.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Maternal care for suspected fetal renal anomaly
O35.03XX0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pelviectasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q62.39.
Impact
Clinical: May lead to incorrect diagnosis and management., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure detailed ultrasound reports., Include specific measurements and findings.
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use Q62 series for congenital conditions.
Impact
Using adult codes for congenital conditions.
Mitigation Strategy
Regular training on ICD-10 coding updates and guidelines.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Pelviectasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pelviectasis
Use these documentation templates to ensure complete and accurate documentation for Pelviectasis. These templates include all required elements for proper coding and billing.
Prenatal Ultrasound
Specialty: ObstetricsRequired Elements
- Renal pelvis AP diameter
- Bladder volume
- Amniotic fluid index
- Associated anomalies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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