What is the ICD 10 code for UPJ obstruction?

Hydronephrosis with ureteropelvic junction obstruction

N13. 0 is a billable/specific ICD10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD10-CM N13. 0 became effective on October 1, 2019.

Full answer is here. Consequently, what is a UPJ obstruction?

Ureteropelvic junction (UPJ) obstruction is a partial or total blockage at the place where the organ that produces urine (the kidney) and the tube that carries it to the bladder (the ureter) are joined.

Also, is UPJ obstruction serious? If undiagnosed or left untreated, chronic UPJ obstruction can lead to significant kidney damage and the gradual loss of kidney function. This is especially true of patients who are diagnosed later in life. Urinary tract infections become common and can be more serious than usual.

Consequently, what causes a UPJ obstruction?

Causes. Most often UPJ obstruction is congenital. Though it occurs less often in adults, UPJ obstruction may happen after kidney stones, surgery or upper urinary tract swelling. In UPJ obstruction, the kidney makes urine faster than it can be drained through the renal pelvis into the ureter.

Can UPJ cause kidney failure?

If undiagnosed or left untreated, chronic UPJ obstruction can lead to significant kidney damage and the gradual loss of kidney function. This is especially true of patients who are diagnosed later in life. Urinary tract infections become common and can be more serious than usual.

What is the most common cause of ureteropelvic junction obstruction?

While the most common type results from a narrowing of the ureter as it forms in fetal development (usually because of an abnormality in the development of the muscle surrounding the UPJ), UPJ obstruction can also occur later in life and can be caused by other factors, including compression of the ureter by

How long does UPJ surgery take?

How long does robotic laparoscopic pyeloplasty take? Surgery takes approximately 2 to 3 hours, and the hospital stay is usually just overnight.

Can a UPJ obstruction come back?

Once the UPJ obstruction is fixed, it almost never comes back. Note that patients who have had UPJ obrstruction may have a slightly greater risk of future kidney stones or infection. This is because the kidneys may still contain some pooled urine, even though overall drainage is improved.

How common is UPJ obstruction?

How common is ureteropelvic (UPJ) junction obstruction? UPJ obstruction occurs in about one of every 1,500 births, and is responsible for about 80% of all swollen urine-collecting systems. Males are affected at more than double the rate of females, and the left kidney is affected about twice as often as the right.

Is UPJ obstruction hereditary?

Minimal hydronephrosis is not genetic and is not hereditary. If UPJ obstruction is determined to be the cause of the hydronephrosis, the chances for future children with the same obstruction may be as high as 50 percent.

Can UPJ obstruction cause high blood pressure?

We have previously demonstrated in animals and in pediatric patients that hydronephrosis causes hypertension, which was attenuated by surgical relief of the ureteropelvic junction (UPJ) obstruction. Conclusions: In adults with hydronephrosis, blood pressure was reduced following relief of the obstruction.

What are the symptoms of UPJ obstruction?

Symptoms of UPJ obstructions include:
  • The renal pelvis and/or kidneys are dilated (hydronephrosis)
  • Urinary tract infection.
  • Abdominal mass.
  • Vomiting.
  • Poor growth in infants (failure to thrive)
  • Back pain.
  • Flank pain.
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How is UPJ obstruction treated?

The traditional treatment for ureteropelvic junction obstruction has been open surgery to cut out the area of scarring and re-connect the ureter to the kidney. Over the past several years, newer less invasive treatment options have been developed.

Is hydronephrosis painful?

Hydronephrosis is the swelling of a kidney due to a build-up of urine. It happens when urine cannot drain out from the kidney to the bladder from a blockage or obstruction. Hydronephrosis may or may not cause symptoms. The main symptom is pain, either in the side and back (known as flank pain), abdomen or groin.

What is hydronephrosis with ureteropelvic junction obstruction?

Ureteropelvic junction (UPJ) obstruction is a partial or total blockage at the place where the organ that produces urine (the kidney) and the tube that carries it to the bladder (the ureter) are joined. UPJ obstruction is the most common cause of hydronephrosis detected on prenatal ultrasound or in newborns.

What is flank pain?

Flank pain refers to discomfort in your upper abdomen or back and sides. It develops in the area below the ribs and above the pelvis. Usually, the pain is worse on one side of your body. Most people experience flank pain at least once in their life, and the discomfort is usually temporary.

Can UPJ obstruction be intermittent?

Ureteropelvic Junction Obstruction (UPJ) Ureteropelvic junction obstruction is one of the most common causes of hydronephrosis – literally “water in the kidney”. This blockage can affect the function of the kidney, can cause intermittent episodes of abdominal pain, or both.