ICD-10 Coding for Renal Infarction with Costovertebral Angle Tenderness(N28.0, I74.3)
Complete ICD-10-CM coding and documentation guide for Renal Infarction with Costovertebral Angle Tenderness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Renal Infarction with Costovertebral Angle Tenderness
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N28.0 | Renal infarction | Use when imaging confirms renal infarction with clinical symptoms such as CVAT. |
|
| I74.3 | Embolism and thrombosis of renal artery | Use when embolic or thrombotic etiology is confirmed. |
|
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 renal infarction
Essential facts and insights about Renal Infarction with Costovertebral Angle Tenderness
Primary ICD-10-CM Codes for ischemic costovertebral angle
Decision Criteria
clinical Criteria
- Imaging shows wedge-shaped hypodensity in kidney.
documentation Criteria
- Documented CVAT and elevated LDH levels.
Applicable To
- Acute renal infarction
- Subacute renal infarction
Excludes
- Chronic kidney disease (N18.-)
Clinical Validation Requirements
- CT or MRI showing wedge-shaped hypodensity
- Elevated LDH levels
- Presence of CVAT
Code-Specific Risks
- Misclassification as musculoskeletal pain
- Omission of imaging confirmation
Coding Notes
- Ensure imaging confirms infarction before coding N28.0.
I74.3 - Embolism and thrombosis of renal artery
Use when embolic or thrombotic etiology is confirmed.
Applicable To
- Renal artery embolism
- Renal artery thrombosis
Excludes
- Chronic ischemic heart disease (I25.-)
Clinical Validation Requirements
- Angiography showing renal artery occlusion
- History of embolic events
Coding Notes
Document source of embolism for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Renal Infarction with Costovertebral Angle Tenderness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N28.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Fails to meet coding standards., Financial: Potential claim denials.
Mitigation Strategy
Include detailed pain description, Document CVAT and imaging results
Impact
Reimbursement: May lead to denied claims if unsupported by imaging., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure CT or MRI confirms infarction before coding.
Impact
Coding without imaging increases audit risk.
Mitigation Strategy
Ensure all cases have documented imaging.
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 Renal Infarction with Costovertebral Angle Tenderness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Renal Infarction with Costovertebral Angle Tenderness
Use these documentation templates to ensure complete and accurate documentation for Renal Infarction with Costovertebral Angle Tenderness. These templates include all required elements for proper coding and billing.
Acute renal infarction with CVAT
Specialty: NephrologyRequired Elements
- Patient history of AFib
- Sudden flank pain description
- CVAT on physical exam
- CT imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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