Find comprehensive information on Renal Stone diagnosis, including clinical documentation, medical coding (ICD-10 N20.0, N20.1, N20.8, N20.9), nephrolithiasis treatment, kidney stone symptoms, and prevention. Learn about ureteral stones, calcium stones, struvite stones, uric acid stones, and cystine stones. Explore diagnostic tests like CT scans, ultrasounds, and urinalysis for accurate Renal Stone identification. This resource provides valuable insights for healthcare professionals, medical coders, and patients seeking information about Renal Stone disease management.
Also known as
Calculus of kidney and ureter
Covers kidney and ureter stones and related conditions.
Acute and chronic kidney disease
Includes kidney failure and other complications possibly linked to stones.
Retention of urine
Describes urinary retention that can be caused by a stone.
Follow this step-by-step guide to choose the correct ICD-10 code.
Calculus of kidney or ureter?
Yes
Obstruction of urinary tract?
No
Calculus of bladder?
When to use each related code
| Description |
|---|
| Renal Stone |
| Renal Colic |
| Hydronephrosis |
Coding renal stone without specifying laterality (right, left, bilateral) or location (ureter, kidney) leads to inaccurate coding and claims.
Failing to document the type of renal stone (calcium, struvite, uric acid) impacts coding specificity for accurate reimbursement and quality reporting.
Associated hydronephrosis due to obstruction may be overlooked, leading to undercoding severity and missing CC/MCC capture.
Q: What are the most effective evidence-based strategies for managing acute renal colic pain in the emergency department setting, considering patient comorbidities and potential drug interactions?
A: Managing acute renal colic pain effectively requires a multimodal approach tailored to the individual patient. Non-steroidal anti-inflammatory drugs (NSAIDs) like ketorolac are often first-line for pain relief due to their combined analgesic and anti-inflammatory effects. However, clinicians must carefully assess for contraindications such as peptic ulcer disease, bleeding disorders, or renal impairment. For patients with these comorbidities, opioids like morphine or hydromorphone can be considered, but with careful monitoring for respiratory depression and other adverse effects. Additionally, intravenous fluids can help with dehydration and promote stone passage. Explore how integrating point-of-care ultrasound can expedite diagnosis and guide management decisions in the emergency department. Consider implementing standardized pain assessment tools and protocols to ensure consistent and effective pain control. Learn more about risk stratification for potential complications and determining the need for urology consultation.
Q: How can I differentiate between renal colic caused by a ureteral stone and other acute abdominal pain conditions mimicking renal colic, such as appendicitis or diverticulitis, using clinical presentation, laboratory findings, and imaging studies?
A: Differentiating renal colic from other acute abdominal pathologies requires careful consideration of the clinical picture, laboratory findings, and imaging results. While renal colic typically presents with flank pain radiating to the groin, accompanied by nausea, vomiting, and hematuria, other conditions like appendicitis and diverticulitis can mimic these symptoms. Laboratory tests such as urinalysis can reveal hematuria suggestive of renal colic, but are not always definitive. Imaging plays a crucial role in accurate diagnosis. Non-contrast computed tomography (NCCT) of the abdomen and pelvis is the gold standard for visualizing ureteral stones and ruling out other causes of abdominal pain. Ultrasound can also be helpful, particularly in pregnant patients or those with contraindications to CT. Consider implementing a diagnostic algorithm that incorporates patient history, physical exam findings, and targeted imaging to ensure accurate and timely diagnosis. Explore how point-of-care ultrasound can be utilized as an initial triage tool to differentiate between renal colic and other acute abdominal conditions.
Patient presents with acute onset of severe flank pain, radiating to the groin, consistent with renal colic. Symptoms include hematuria, nausea, vomiting, and urinary urgency. Differential diagnosis includes nephrolithiasis, ureterolithiasis, pyelonephritis, urinary tract infection, and appendicitis. Physical examination reveals costovertebral angle tenderness. Patient reports a history of kidney stones. Urinalysis demonstrates microscopic hematuria and crystalluria. Renal ultrasound confirms the presence of a renal calculus measuring [size] mm located in the [location, e.g., right kidney, left renal pelvis]. Diagnosis of renal stone confirmed. Pain management initiated with [medication, e.g., intravenous ketorolac]. Patient advised on increased fluid intake. Treatment plan includes [conservative management vs. surgical intervention, e.g., observation, medical expulsive therapy, lithotripsy, ureteroscopy]. Follow-up scheduled to monitor stone passage and renal function. ICD-10 code N20.0 assigned. Medical necessity for imaging and treatment documented.