ICD-10 Coding for Renal Pain(N23, R10.9)
Complete ICD-10-CM coding and documentation guide for Renal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Renal Pain
N20-N23Primary Range
Calculus of kidney and ureter
This range includes codes for renal colic and related conditions, which are primary for renal pain.
Symptoms and signs involving the digestive system and abdomen
Includes codes for unspecified abdominal pain, used when renal pain is not confirmed.
Chronic kidney disease (CKD)
CKD codes are used when renal pain is associated with chronic kidney disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N23 | Unspecified renal colic | Use when renal colic is confirmed by imaging or lab results. |
|
| R10.9 | Unspecified abdominal pain | Use when the pain is not confirmed as renal colic. |
|
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 pain
Essential facts and insights about Renal Pain
Primary ICD-10-CM Codes for renal pain
Decision Criteria
clinical Criteria
- Confirmed renal colic via imaging
documentation Criteria
- Documented hematuria
Applicable To
- Renal colic
Excludes
- Calculus of kidney (N20.0)
Clinical Validation Requirements
- Imaging confirmation of calculus or obstruction
- Urinalysis showing hematuria
Code-Specific Risks
- Using without imaging confirmation
- Not documenting hematuria
Coding Notes
- Ensure imaging or lab results confirm renal origin before using N23.
R10.9 - Unspecified abdominal pain
Use when the pain is not confirmed as renal colic.
Applicable To
- Flank pain
Excludes
- Renal colic (N23)
Clinical Validation Requirements
- Localized pain without specific renal confirmation
Coding Notes
Use only when renal origin is not confirmed.
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 Renal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N23.
Impact
Clinical: Leads to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific terms like 'renal colic' when confirmed.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N23 when imaging or labs confirm renal colic.
Impact
Risk of incorrect code usage without proper validation.
Mitigation Strategy
Ensure all documentation supports code selection.
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 Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Renal Pain
Use these documentation templates to ensure complete and accurate documentation for Renal Pain. These templates include all required elements for proper coding and billing.
Acute Renal Colic
Specialty: NephrologyRequired Elements
- Pain location and severity
- Imaging results
- Urinalysis findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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