Renal hypoplasia, unilateral. Q60.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Q60.3 became effective on October 1, 2018.
Hypoplasia of the kidney in a child aged one year or more may not appear for a long time and is found during examination for an acute form of pyelonephritis or persistent increase in blood pressure. Also, the basis for a comprehensive nephrological examination can be a long pyuria (pus in the urine) or hematuria (blood in the urine).
On the pathoanatomical section, the hypoplastic kidney has cortical, cerebral layers and a narrow thin-walled artery typical for renal tissue.
Hypoplasia of the right kidney can be diagnosed both randomly, and at the intrauterine stage of fetal development or during a primary examination of a newborn baby.
In about half of all cases of bilateral renal agenesis there are other structural anomalies (e.g. urogenital, cardiac, skeletal, central nervous system) or syndromes (chromosomal or genetic). The non-syndromic multiple anomaly patterns include:
Unilateral renal agenesis or hypoplasia may be clinically silent at delivery if the contralateral kidney is functional, such that the diagnosis may occur months or years after birth (if at all).
Renal agenesis can be diagnosed or strongly suspected prenatally by ultrasound but should always be confirmed postnatally. Postnatal. Renal agenesis or hypoplasia is conclusively diagnosed only through direct assessment by abdominal ultrasound, CT or MRI scan, surgery, or autopsy. Bilateral renal agenesis should be considered in an infant ...
In practice, renal agenesis and renal aplasia might be indistinguishable. Renal hypoplasia is a congenitally small kidney without dysplasia and can be bilateral ...
Bilateral renal agenesis is a lethal condition – the fetus may be stillborn or die shortly after delivery. Look for major anomalies and minor anomalies – renal agenesis is seen in hundreds of genetic conditions, including common trisomies, deletion 22q11, Melnick-Fraser syndrome, Fraser cryptophthalmos syndrome, and branchio-oto-renal syndrome.
The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
Your kidneys are two bean-shaped organs, each about the size of your fists. They are located near the middle of your back, just below the rib cage. Inside each kidney about a million tiny structures called nephrons filter blood. They remove waste products and extra water, which become urine. The urine flows through tubes called ureters to your bladder, which stores the urine until you go to the bathroom.
Almost half of children with diagnosed kidney hypoplasia have other anomalies - doubling of the solitary kidney (the only relatively healthy one), eversion (exstrophy) of the bladder, abnormal position of the urethra (hypospadias), narrowing of the renal artery, cryptorchidism.
The cause of kidney hypoplasia is the insufficient mass of the metanephrogenic blastema with normal ingrowth and the inducing effect of the methanephros flow. Therefore, all nephrons have a normal structure and are functionally well-off, but their total number is less than normal by 50%.
Hypoplasia of the kidney is simple, when an insufficient number of nephrons and calyxes is determined in the anomalous organ. Hypoplasia in combination with oligonephronia (bilateral hypoplasia with a small number of nephrons, glomeruli and enlarged connective tissue, dilated tubules).
The anatomically right kidney should be located slightly lower than the left, because it contacts a fairly large right-sided organ - the liver. It is noticed that hypoplasia of the right kidney is most often found in female persons, which is most likely due to anatomical features of the structure of the female body.
Hypoplasia of kidneys in newborns is a congenital anomaly due to external or internal effects on the fetus. That is why prospective mothers, pregnant women need not just learn this information, but also do everything possible to maximally neutralize the harmful factors affecting the fetus.
Anatomically, the left kidney should be located just above the right one, so the hypoplasia of the left kidney may appear more symptomatic in the clinical sense. As signs indicating the underdevelopment of the left kidney, there may be aching pain in the lower back.
Bilateral kidney hypoplasia in infants is detected in the first days or months of life after birth, since none of the kidneys is able to function normally.