Find information on Left Renal Stone diagnosis including ICD-10 code N20.0, medical coding guidelines, clinical documentation improvement tips, and healthcare resources. Learn about symptoms, treatment options, and best practices for accurate renal stone documentation for optimal reimbursement. Explore resources for nephrolithiasis, kidney stone disease, renal calculi, and ureteral obstruction related to left kidney stones.
Also known as
Calculus of kidney and ureter
Covers kidney and ureter stones, including obstructions.
Acute and chronic renal failure
Includes renal failure that may be caused by stones.
Retention of urine
Covers urinary retention, a possible complication of stones.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the left renal stone specified as obstructive?
Yes
With hydronephrosis?
No
Is there hydronephrosis?
When to use each related code
| Description |
|---|
| Left kidney stone |
| Left ureteral stone |
| Left nephrolithiasis |
Coding N20.0 without laterality (N20.1, N20.2) when documented, impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.
Lack of stone type specification (e.g., calcium, struvite) when clinically available affects statistical analysis and quality reporting. Medical coding, CDI, healthcare compliance.
Incorrectly coding obstruction (N13.2) with N20.0 without supporting documentation leads to overcoding and compliance issues. Medical coding, CDI, healthcare compliance.
Patient presents with left flank pain, consistent with renal colic. The patient reports the pain as sharp, intermittent, and radiating to the left groin. Onset of pain was sudden and severe. Associated symptoms include nausea, hematuria, and urinary urgency. Physical examination reveals left costovertebral angle tenderness. Differential diagnosis includes nephrolithiasis, pyelonephritis, ureteral obstruction, and other causes of abdominal pain. Preliminary diagnosis of left renal calculus is suspected. Ordered urinalysis, non-contrast CT scan of the abdomen and pelvis to evaluate for left kidney stone, and serum creatinine to assess renal function. Patient advised to increase fluid intake and prescribed pain medication for symptomatic relief. Plan to discuss treatment options including medical expulsive therapy, extracorporeal shock wave lithotripsy ESWL, or ureteroscopy based on stone size and location confirmed by imaging. Diagnosis codes may include N20.0, N20.1 depending on laterality confirmation and stone composition. Medical billing will reflect evaluation and management services, diagnostic imaging, and therapeutic interventions provided. Follow-up scheduled to review imaging results and finalize treatment plan. Patient education provided regarding kidney stone prevention strategies, including dietary modifications and hydration.