ICD-10 Coding for Cough-Induced Hematuria in UPJ Obstruction(N13.0, R31.9)
Complete ICD-10-CM coding and documentation guide for Cough-Induced Hematuria in UPJ Obstruction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cough-Induced Hematuria in UPJ Obstruction
N13-N13.9Primary Range
Obstructive and reflux uropathy
This range includes codes for ureteropelvic junction obstruction, which is the primary condition associated with cough-induced hematuria.
Hematuria
This range includes codes for hematuria, a symptom of UPJ obstruction exacerbated by coughing.
Cough
This range includes codes for cough, which can trigger hematuria in the context of UPJ obstruction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N13.0 | Hydronephrosis with ureteropelvic junction obstruction | Use when UPJ obstruction is confirmed as the cause of hematuria exacerbated by coughing. |
|
| R31.9 | Hematuria, unspecified | Use when hematuria is present but not further specified. |
|
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 cough-induced hematuria
Essential facts and insights about Cough-Induced Hematuria in UPJ Obstruction
Primary ICD-10-CM Codes for cough ureteropelvic blood
Decision Criteria
clinical Criteria
- Imaging shows UPJ obstruction with hydronephrosis.
documentation Criteria
- Clinical notes link cough to hematuria.
Applicable To
- Congenital or acquired UPJ obstruction
Excludes
- Obstruction due to calculus (N20.0)
Clinical Validation Requirements
- Imaging confirmation of UPJ obstruction
- Documentation linking cough to hematuria
Code-Specific Risks
- Incorrectly using this code without imaging confirmation.
Coding Notes
- Ensure imaging studies confirm UPJ obstruction before using N13.0.
R31.9 - Hematuria, unspecified
Use when hematuria is present but not further specified.
Applicable To
- Blood in urine
Excludes
- Hemoptysis (R04.2)
Clinical Validation Requirements
- Urinalysis showing RBCs without infection
Coding Notes
Ensure hematuria is documented clearly in clinical notes.
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 Cough-Induced Hematuria in UPJ Obstruction to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N13.0.
Impact
Clinical: Misrepresents the patient's condition., Regulatory: Leads to incorrect reporting., Financial: May result in claim denials.
Mitigation Strategy
Verify the source of bleeding before coding, Educate staff on differences between hematuria and hemoptysis
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects regulatory reporting., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies urinary bleeding, not respiratory.
Impact
Failure to sequence N13.0 before R31.9 when UPJ obstruction is confirmed.
Mitigation Strategy
Train staff on proper code 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 Cough-Induced Hematuria in UPJ Obstruction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cough-Induced Hematuria in UPJ Obstruction
Use these documentation templates to ensure complete and accurate documentation for Cough-Induced Hematuria in UPJ Obstruction. These templates include all required elements for proper coding and billing.
Cough-induced hematuria in UPJ obstruction
Specialty: UrologyRequired Elements
- Patient history of hematuria post-cough
- Imaging results
- Urinalysis findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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