ICD-10 Coding for Kidney Stone(N20.0)
Complete ICD-10-CM coding and documentation guide for Kidney Stone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Kidney Stone
N20-N23Primary Range
Urolithiasis
This range includes codes for stones in the urinary tract, with N20.0 specifically for kidney stones.
Key Information: ICD-10 code for kidney stones
Essential facts and insights about Kidney Stone
Primary ICD-10-CM Code for calculus of kidney
Decision Criteria
clinical Criteria
- Imaging confirms stone in kidney
documentation Criteria
- Documentation specifies stone location in kidney
Applicable To
- Staghorn calculus
Clinical Validation Requirements
- Imaging evidence of stone in renal pelvis or calyx
- Symptoms such as flank pain or hematuria
Code-Specific Risks
- Incorrectly coding as N20.9 when location is specified
Coding Notes
- Ensure imaging confirms the stone's location in the kidney before coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Kidney Stone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N20.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Train staff on documentation requirements., Use templates to ensure completeness.
Impact
Reimbursement: May lead to incorrect DRG assignment and affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on stone location.
Mitigation Strategy
Use N20.0 when imaging confirms the stone is in the kidney.
Impact
Improper sequencing of primary and ancillary codes.
Mitigation Strategy
Educate coders on proper sequencing rules.
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 Kidney Stone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Kidney Stone
Use these documentation templates to ensure complete and accurate documentation for Kidney Stone. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Renal Colic
Specialty: Emergency MedicineRequired Elements
- History of Present Illness
- Imaging Results
- Laboratory Findings
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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