ICD-10 Coding for History of Kidney Stones(Z87.442)
Complete ICD-10-CM coding and documentation guide for History of Kidney Stones. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Kidney Stones
Z87.44-Z87.442Primary Range
Personal history of diseases of the urinary system
This range includes codes for documenting a personal history of urinary calculi, specifically Z87.442 for kidney stones.
Calculus of kidney and ureter
This range includes codes for active kidney stones, which are relevant when differentiating from historical cases.
Key Information: ICD-10 code for history of kidney stones
Essential facts and insights about History of Kidney Stones
Primary ICD-10-CM Code for history of kidney stones
Decision Criteria
clinical Criteria
- No current symptoms or active stones present.
documentation Criteria
- Imaging and stone analysis reports confirm resolution.
Applicable To
- Resolved kidney stones
- Past episodes of nephrolithiasis
Clinical Validation Requirements
- Documentation of past kidney stone episodes
- Imaging reports confirming resolution
- Stone analysis reports
Code-Specific Risks
- Incorrectly using for active stones
- Lack of supporting documentation for past episodes
Coding Notes
- Ensure documentation clearly states the history and resolution of stones.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hematuria, unspecified
R31.9Differential 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 History of Kidney Stones to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.442.
Impact
Clinical: Inaccurate patient history, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific language in documentation, Include supporting evidence
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use N20.0 for active stones and Z87.442 for resolved history.
Impact
Using Z87.442 for active conditions.
Mitigation Strategy
Educate staff on proper code usage and documentation requirements.
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 History of Kidney Stones, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Kidney Stones
Use these documentation templates to ensure complete and accurate documentation for History of Kidney Stones. These templates include all required elements for proper coding and billing.
Follow-up visit for resolved kidney stones
Specialty: UrologyRequired Elements
- Patient history of stone episodes
- Imaging results confirming resolution
- Stone analysis details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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