ICD-10 Coding for Coughing Ureteropelvic Blood(N13.0, R31.0)
Complete ICD-10-CM coding and documentation guide for Coughing Ureteropelvic Blood. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Coughing Ureteropelvic Blood
N13.0-N13.9Primary Range
Obstructive and reflux uropathy
This range includes codes for ureteropelvic junction obstruction, which is the primary condition causing hematuria.
Hematuria
This range includes codes for hematuria, which is a symptom of the ureteropelvic junction 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. |
|
| R31.0 | Gross hematuria | Use when documenting the symptom of hematuria. |
|
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 ureteropelvic junction obstruction with hematuria
Essential facts and insights about Coughing Ureteropelvic Blood
Primary ICD-10-CM Codes for coughing ureteropelvic blood
Decision Criteria
clinical Criteria
- Presence of hydronephrosis and hematuria
Applicable To
- Obstruction of ureteropelvic junction
Excludes
- Congenital hydronephrosis (Q62.0)
Clinical Validation Requirements
- Imaging studies confirming UPJ obstruction
- Clinical presentation of hematuria
Code-Specific Risks
- Confusing with congenital conditions
Coding Notes
- Ensure documentation clearly links hematuria to UPJ obstruction.
R31.0 - Gross hematuria
Use when documenting the symptom of hematuria.
Applicable To
- Visible blood in urine
Excludes
- Hemoptysis (R04.2)
Clinical Validation Requirements
- Urinalysis confirming blood in urine
Coding Notes
Document severity and frequency of hematuria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Gross hematuria
R31.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Coughing Ureteropelvic Blood to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N13.0.
Impact
Clinical: Misleading clinical data, Regulatory: Non-compliance with ICD-10 guidelines, Financial: Potential claim denials
Mitigation Strategy
Verify source of bleeding, Cross-check documentation
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data.
Mitigation Strategy
Ensure documentation specifies blood in urine, not from respiratory tract.
Impact
Inaccurate documentation of hematuria source.
Mitigation Strategy
Regular training on documentation standards.
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 Coughing Ureteropelvic Blood, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Coughing Ureteropelvic Blood
Use these documentation templates to ensure complete and accurate documentation for Coughing Ureteropelvic Blood. These templates include all required elements for proper coding and billing.
Patient with UPJ obstruction and hematuria
Specialty: UrologyRequired Elements
- Patient history
- Imaging results
- Symptom description
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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