Find information on ureteral stent presence diagnosis, including clinical documentation requirements, medical coding guidelines (ICD-10, CPT), and healthcare resources. Learn about post-ureteroscopy stent care, ureteral stent removal procedures, and potential complications. This resource addresses common patient questions and provides guidance for healthcare professionals on accurately documenting and coding ureteral stent placement, maintenance, and removal.
Also known as
Presence of other specified implants
Indicates the presence of a ureteral stent, a type of implant.
Mech compl of urinary sys dev/proc
Covers mechanical complications of a urinary system device, such as a stent.
Other specified urinary disorders
May be used for conditions related to a ureteral stent not classified elsewhere.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the ureteral stent present due to a current procedure?
Yes
Is the procedure diagnostic?
No
Is the stent indwelling?
When to use each related code
Description |
---|
Ureteral stent in place |
Displaced ureteral stent |
Ureteral stent obstruction |
Risk of missing procedure code for initial stent placement, leading to underreporting of services and lost revenue.
Lack of documentation specifying stent type (e.g., indwelling, nephrostomy) may cause coding errors and compliance issues.
Missing documentation of stent laterality (left, right, bilateral) can lead to inaccurate coding and claim denials.
Patient presents with a ureteral stent in situ. The stent placement was (initial placement date if known, otherwise state reason for unknown date, e.g., placed at outside facility, remote history). The indication for stent placement was (indication, e.g., nephrolithiasis, ureteral stricture, postoperative urinary diversion). Patient reports (patient-reported symptoms related to the stent, e.g., asymptomatic, mild flank discomfort, occasional hematuria). On physical exam, (relevant physical exam findings, e.g., abdomen soft, nontender, no costovertebral angle tenderness). Review of systems reveals (pertinent positives and negatives related to genitourinary function, e.g., denies dysuria, frequency, urgency). Current medications include (list medications, especially those affecting coagulation or urinary tract function). Plan includes (plan for stent management, e.g., scheduled stent removal on (date), monitoring for stent-related complications, patient education regarding stent care and potential complications). Assessment: Presence of ureteral stent, (ICD-10 code Z98.81). Differential diagnoses included (if applicable, list any alternative explanations for reported symptoms) but presence of stent confirmed by (method of confirmation, e.g., imaging, previous operative report). Patient education provided regarding signs and symptoms of urinary tract infection, obstruction, and other stent-related complications. Follow-up scheduled as indicated.