ICD-10-CM Billable Code

Q62.31

Congenital ureterocele, orthotopic

Clinical Classification Guidelines

Medical Intelligence & Overview

Congenital ureterocele is a condition present at birth where a part of the ureter—the tube that carries urine from the kidney to the bladder—swells or balloons out at its opening into the bladder. When this swelling occurs at the usual position within the bladder, it is termed an orthotopic ureterocele. Though often diagnosed in childhood, it can sometimes remain unnoticed until adulthood. This condition can affect urinary function and may lead to complications if not managed properly.

Causes & Symptoms

Clinical Causes: Developmental abnormality during fetal growth affecting the urinary tract Genetic factors that influence the formation of the urinary system Potential association with other congenital abnormalities of the kidneys or urinary tract No definitive cause identified in many cases; often considered a sporadic defect

Key Symptoms: Difficulty urinating or weak urinary stream recurrent urinary tract infections (UTIs) Urinary incontinence or leakage Abdominal pain or discomfort Urgent need to urinate or feeling of incomplete bladder emptying In some cases, no noticeable symptoms, especially in mild forms

Diagnostic & Treatment

Diagnosis Path: The diagnosis of congenital orthotopic ureterocele typically involves a combination of clinical evaluation and diagnostic imaging, including:

Treatment Protocols: Management of a congenital orthotopic ureterocele depends on the severity and associated complications. Treatment options may include:

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 Q62.31 a billable ICD-10 code?
Yes, Q62.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report Q62.31?
Clinical documentation must specify the nature of Congenital ureterocele, orthotopic and any associated comorbidities for accurate reporting.

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