Facebook tracking pixel
N13.2
ICD-10-CM
Ureteral Stone with Hydronephrosis

Find information on ureteral stone with hydronephrosis, including clinical documentation, medical coding, ICD-10 codes N13.2 and N28.89, SNOMED CT concepts, diagnosis codes, treatment options, and healthcare guidelines. Learn about the connection between ureteral stones and hydronephrosis, relevant medical terminology, and best practices for accurate clinical documentation and coding for this diagnosis. This resource provides valuable information for healthcare professionals, medical coders, and clinicians seeking accurate and comprehensive details on ureteral stone with hydronephrosis.

Also known as

Ureter Stone with Hydronephrosis
Ureteral Calculus with Hydronephrosis

Diagnosis Snapshot

Key Facts
  • Definition : Kidney stone blocking urine flow from kidney to bladder, causing kidney swelling.
  • Clinical Signs : Severe flank pain, nausea, vomiting, blood in urine, urinary urgency.
  • Common Settings : Emergency room, urgent care, urology clinic, lithotripsy center.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC N13.2 Coding
N20-N23

Calculus of urinary system

Covers kidney and ureteral stones.

N13

Hydronephrosis

Dilation of the renal pelvis and calyces.

R33

Other difficulty with micturition

May include urinary symptoms associated with stones.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the ureteral stone causing obstruction?

  • Yes

    Which side? Right/Left/Bilateral?

  • No

    Which side? Right/Left/Bilateral?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Ureteral Stone with Hydronephrosis
Ureteral Stone
Hydronephrosis

Documentation Best Practices

Documentation Checklist
  • Ureteral stone location, size, laterality
  • Hydronephrosis degree (mild, moderate, severe)
  • Pain characteristics (onset, location, severity)
  • Associated symptoms (nausea, vomiting, hematuria)
  • Imaging confirmation (CT, ultrasound, KUB)

Coding and Audit Risks

Common Risks
  • Unilateral vs Bilateral Coding

    Incorrect coding of laterality (unilateral/bilateral hydronephrosis) can lead to inaccurate reimbursement and data reporting. Specificity is crucial.

  • Obstruction Level Specificity

    Lack of documentation clarifying the obstruction level (upper/mid/lower ureter) may cause coding errors and affect clinical quality metrics.

  • Hydronephrosis Severity Coding

    Failing to document and code hydronephrosis severity (mild/moderate/severe) can impact accurate reflection of patient acuity and resource utilization.

Mitigation Tips

Best Practices
  • Document stone size, location, laterality for accurate ICD-10 coding (N20.0, N20.1).
  • Capture hydronephrosis severity (mild, moderate, severe) for correct coding (N13.30-N13.39).
  • Query physician for stone composition detail to support medical necessity of interventions.
  • Ensure documentation links hydronephrosis to ureteral stone for justified treatment.
  • Use standardized terminology for stone treatment (lithotripsy, ureteroscopy) for CDI.

Clinical Decision Support

Checklist
  • Verify laterality (left vs. right ureter)
  • Confirm hydronephrosis via imaging (US/CT)
  • Document stone size and location in ureter
  • Assess patient pain severity and vital signs
  • Check for signs of infection (fever, chills)

Reimbursement and Quality Metrics

Impact Summary
  • Ureteral Stone with Hydronephrosis: Reimbursement and Quality Metrics Impact Summary
  • Keywords: medical billing, coding accuracy, ICD-10 N75.0, N75.1, N75.2, N75.3, N75.4, N75.8, N75.9, hydronephrosis, ureteral calculus, hospital reporting, physician documentation, CDI, clinical validation, reimbursement impact, quality metrics, denials management, revenue cycle management, case mix index
  • Impact 1: Accurate coding (N75.x) impacts CMI and reimbursement.
  • Impact 2: Hydronephrosis severity documentation affects DRG assignment.
  • Impact 3: Physician queries improve coding specificity for optimal payment.
  • Impact 4: Denials reduced via clear documentation of stone size/location.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code N75.1 and N80.0
  • Document stone location/size
  • Laterality is crucial (R/L)
  • Query physician if unclear
  • Check for obstruction codes

Documentation Templates

Patient presents with complaints consistent with ureteral colic, including acute flank pain radiating to the groin, hematuria, and nausea.  The patient reports the pain as severe and intermittent.  On physical examination, costovertebral angle tenderness is noted.  Ultrasound imaging reveals the presence of a ureteral stone obstructing the ureter, resulting in hydronephrosis.  The stone size is measured at [insert size] mm.  Differential diagnosis includes pyelonephritis, renal colic, urinary tract infection, and appendicitis.  Assessment confirms a diagnosis of ureteral stone with hydronephrosis.  The patient's current pain level is [insert pain scale rating].  Plan includes pain management with [insert medication and dosage], hydration with intravenous fluids, and monitoring for spontaneous stone passage.  If the stone does not pass spontaneously, treatment options including lithotripsy, ureteroscopy, or percutaneous nephrolithotomy will be discussed.  Patient education provided on ureteral stone prevention, including dietary modifications and increased fluid intake.  Follow-up scheduled in [insert timeframe] to reassess symptoms and stone location.  ICD-10 code N20.0, Ureteric calculus, is documented.  Medical billing codes will be determined based on procedures performed.
Ureteral Stone with Hydronephrosis - AI-Powered ICD-10 Documentation