ICD-10 Coding for Bladder Stone(N21.0)
Complete ICD-10-CM coding and documentation guide for Bladder Stone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bladder Stone
Key Information: ICD-10 code for bladder stone
Essential facts and insights about Bladder Stone
Primary ICD-10-CM Code for bladder stone
Decision Criteria
clinical Criteria
- Presence of stone in bladder confirmed by imaging.
coding Criteria
- Do not use for stones in the kidney or ureter.
Applicable To
- Bladder stone
- Vesical calculus
Excludes
- Calculus of kidney and ureter (N20.-)
Clinical Validation Requirements
- Imaging confirmation of stone in bladder
- Symptoms such as hematuria or dysuria
Code-Specific Risks
- Confusion with N20.2, which is for kidney and ureter stones.
Coding Notes
- Ensure documentation specifies stone location and size for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Urinary tract infection
N39.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Ureteral calculus
N20.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bladder Stone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N21.0.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure imaging results are reviewed and documented., Train staff on importance of detailed operative notes.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate medical records and statistics.
Mitigation Strategy
Verify stone location via imaging to ensure correct code selection.
Impact
Lack of imaging documentation to support bladder stone diagnosis.
Mitigation Strategy
Require imaging reports for all bladder stone diagnoses.
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 Bladder Stone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bladder Stone
Use these documentation templates to ensure complete and accurate documentation for Bladder Stone. These templates include all required elements for proper coding and billing.
Bladder Stone Removal
Specialty: UrologyRequired Elements
- Stone size
- Location
- Removal method
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Bladder Stone? Ask your questions below.