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Home/Diagnosis/ICD-10 Coding for Ureteral Obstruction

ICD-10 Coding for Ureteral Obstruction

N13.1
N13.2
N13.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for ureteral obstruction includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Ureteral Blockage
Ureteral Stricture
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Key Information: ICD-10 Coding for Ureteral Obstruction

Essential facts and insights about ICD-10 Coding for Ureteral Obstruction

Use ICD-10 code N13.1 for hydronephrosis with ureteropelvic junction obstruction, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hydronephrosis with ureteropelvic junction obstruction

Billable Code
N13.1
Billable

Diagnostic Criteria

  • • Imaging confirms UPJ obstruction without stones.

Applicable To

  • • UPJ obstruction

Important Notes

  • • Ensure documentation specifies UPJ obstruction without stones.

Hydronephrosis with ureteral stricture, not elsewhere classified

Billable Code
N13.2
Billable

Diagnostic Criteria

  • • CT showing ureteral calculus
  • • Symptoms of flank pain and hematuria

Applicable To

  • • Ureteral stricture with hydronephrosis

Important Notes

  • • Ensure calculus is documented as the cause of obstruction.

Pyonephrosis

Billable Code
N13.6
Billable

Diagnostic Criteria

  • • Urine culture positive for infection
  • • Imaging showing hydronephrosis with infection

Applicable To

  • • Infection with obstruction

Important Notes

  • • Document infection and obstruction clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

N39.0

Urinary tract infection, site not specified

Use when UTI is present with obstruction.

Frequently Asked Questions

What is the ICD-10 code for ureteral obstruction due to a stone?

The ICD-10 code for ureteral obstruction due to a stone is N13.2, which indicates hydronephrosis with ureteral stricture, not elsewhere classified.

How do you code pyonephrosis?

Pyonephrosis is coded as N13.6 in ICD-10, which includes both infection and obstruction. Ensure infection is documented.

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