ICD-10 Coding for History of Renal Calculi(Z87.442, N20.0)
Complete ICD-10-CM coding and documentation guide for History of Renal Calculi. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Renal Calculi
Z87.44-Z87.442Primary Range
Personal history of diseases of the genitourinary system
This range includes codes for personal history of urinary calculi, specifically Z87.442 for renal calculi.
Calculus of kidney and ureter
This range includes codes for active kidney stones, which are relevant for differential diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z87.442 | Personal history of urinary calculi | Use when documenting a resolved history of kidney stones without current symptoms. |
|
| N20.0 | Calculus of kidney | Use for active kidney stones with symptoms. |
|
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 history of renal calculi
Essential facts and insights about History of Renal Calculi
Primary ICD-10-CM Codes for history of renal calculi
Decision Criteria
clinical Criteria
- Patient has no current symptoms and stones are resolved.
documentation Criteria
- Past imaging and treatment records are available.
Applicable To
- History of kidney stones
- History of renal calculi
Excludes
- Current kidney stones (N20.0)
Clinical Validation Requirements
- Documentation of previous imaging confirming stones
- Records of past treatments such as lithotripsy
- Stone analysis reports
Code-Specific Risks
- Incorrectly coding as active stones when asymptomatic
- Omitting relevant past treatment details
Coding Notes
- Ensure documentation specifies the history and resolution of stones.
N20.0 - Calculus of kidney
Use for active kidney stones with symptoms.
Applicable To
- Active kidney stones
Excludes
- History of kidney stones (Z87.442)
Clinical Validation Requirements
- Current imaging showing stones
- Symptoms such as flank pain or hematuria
Coding Notes
Ensure symptoms and imaging support active stone diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Renal Calculi to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.442.
Impact
Clinical: Incomplete patient history., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates to ensure completeness, Review past records for treatment details
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z87.442 for history without current symptoms.
Impact
Confusion between coding history and active stones.
Mitigation Strategy
Ensure clear documentation of symptom status and treatment history.
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 Renal Calculi, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Renal Calculi
Use these documentation templates to ensure complete and accurate documentation for History of Renal Calculi. These templates include all required elements for proper coding and billing.
Follow-up for resolved kidney stones
Specialty: UrologyRequired Elements
- Patient history
- Past treatment details
- Current symptom status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Renal Calculi? Ask your questions below.