ICD-10-CM Billable Code

Q64.5

Congenital absence of bladder and urethra

Clinical Classification Guidelines

Medical Intelligence & Overview

Congenital absence of the bladder and urethra is a rare birth defect where a baby is born without these vital parts of the urinary system. This condition significantly impacts the body's ability to store and remove urine, requiring specialized medical care and intervention. Early diagnosis and management are crucial for the health and development of affected infants.

Causes & Symptoms

Clinical Causes: Genetic mutations or inherited factors that disrupt normal development of the urinary system during fetal growth Environmental factors, such as exposures to certain drugs or toxins during pregnancy Premature or abnormal development of the urinary system tissues in the fetus Unknown factors; often the precise cause remains undetermined

Key Symptoms: Absence of the bladder and urethra observed at birth or shortly thereafter Abnormal or absent genitalia in some cases Potential associated anomalies in other organs, such as the kidneys or reproductive system Difficulty in urination or the inability to pass urine after birth

Diagnostic & Treatment

Diagnosis Path: Diagnosis of this congenital condition typically involves several medical evaluations:

Treatment Protocols: Managing congenital absence of the bladder and urethra requires a multidisciplinary approach involving pediatric urologists, surgeons, and other specialists:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is Q64.5 a billable ICD-10 code?
Yes, Q64.5 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Q64.5?
Clinical documentation must specify the nature of Congenital absence of bladder and urethra and any associated comorbidities for accurate reporting.

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