ICD-10 Coding for Ureteric Calculus(N13.2, N13.2B, N13.2H)
Learn about ICD-10 coding for ureteric calculus, including codes N20.1 and N13.2, documentation requirements, and common coding pitfalls.
Complete code families applicable to Ureteric Calculus
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N20.1 | Calculus of ureter | Use when a ureteral stone is present without obstruction or hydronephrosis. |
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| N13.2 | Hydronephrosis with ureteral obstruction | Use when a ureteral stone causes hydronephrosis or obstruction. |
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Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutUreteric Calculus
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Ureteric Calculus.
Omitting laterality in documentation
Impact
Clinical: Impacts treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation
Always document left, right, or bilateral, Use templates that prompt for laterality
Using N20.1 and N13.2 together
Impact
Reimbursement: Incorrect DRG assignment may occur., Compliance: Violates Excludes1 note rules., Data Quality: Leads to inaccurate clinical data.
Mitigation
Use only N13.2 when hydronephrosis is present.
Incorrect Code Combinations
Impact
Using N20.1 and N13.2 together despite Excludes1 notes.
Mitigation
Educate coders on Excludes1 rules and provide decision trees.