ICD-10 Coding for Bilateral Hydronephrosis(N13.72, Q62.0)
Complete ICD-10-CM coding and documentation guide for Bilateral Hydronephrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral Hydronephrosis
N13.0-N13.9Primary Range
Obstructive and reflux uropathy
This range includes codes for various types of obstructive uropathies, including bilateral hydronephrosis.
Congenital malformations of kidney causing hydronephrosis
This range is relevant for congenital cases of hydronephrosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N13.72 | Bilateral obstructive uropathy with hydroureter | Use when bilateral hydronephrosis is confirmed with imaging and obstruction is documented. |
|
| Q62.0 | Congenital hydronephrosis | Use for congenital cases of hydronephrosis. |
|
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: ICD-10 code for bilateral hydronephrosis
Essential facts and insights about Bilateral Hydronephrosis
Primary ICD-10-CM Codes for bilateral hydronephrosis
Decision Criteria
clinical Criteria
- Bilateral hydronephrosis confirmed by imaging
documentation Criteria
- Obstruction cause documented
Applicable To
- Bilateral hydronephrosis due to obstruction
Excludes
- Congenital hydronephrosis (Q62.0)
Clinical Validation Requirements
- Imaging confirmation of bilateral hydronephrosis
- Documented obstruction cause (e.g., stones, strictures)
Code-Specific Risks
- Ensure laterality is documented as bilateral.
Coding Notes
- Ensure documentation specifies 'bilateral' to avoid incorrect coding.
Q62.0 - Congenital hydronephrosis
Use for congenital cases of hydronephrosis.
Applicable To
- Congenital bilateral hydronephrosis
Excludes
- Acquired hydronephrosis (N13.0-N13.9)
Clinical Validation Requirements
- Prenatal or postnatal imaging showing hydronephrosis
Coding Notes
Differentiate between congenital and acquired hydronephrosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Calculus of kidney with calculus of ureter
N20.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bilateral Hydronephrosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N13.72.
Impact
Clinical: Leads to incomplete diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the cause of obstruction., Include imaging findings in notes.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Ensure documentation explicitly states 'bilateral' to use N13.72.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement checklist for imaging reports to include laterality.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bilateral Hydronephrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Hydronephrosis
Use these documentation templates to ensure complete and accurate documentation for Bilateral Hydronephrosis. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Patient history
- Imaging results
- Symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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