ICD-10 Coding for Right Renal Stone(N20.0, N13.2)
Complete ICD-10-CM coding and documentation guide for Right Renal Stone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Renal Stone
N20-N23Primary Range
Urolithiasis
This range includes codes for stones in the urinary tract, including the kidneys.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N20.0 | Calculus of kidney | Use when a stone is confirmed in the right kidney without ureteral involvement. |
|
| N13.2 | Hydronephrosis with renal and ureteral calculous obstruction | Use when hydronephrosis is present due to a renal stone. |
|
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 right renal stone
Essential facts and insights about Right Renal Stone
Primary ICD-10-CM Codes for right renal stone
Decision Criteria
clinical Criteria
- Confirmed right renal stone on imaging
coding Criteria
- Avoid using N20.9 when laterality is known
Applicable To
- Right renal calculus
Clinical Validation Requirements
- Imaging confirmation (CT/USG) of stone in the right kidney
- Symptoms such as flank pain or hematuria
Code-Specific Risks
- Incorrectly coding unspecified laterality as N20.9
Coding Notes
- Ensure laterality is specified to avoid using unspecified codes.
N13.2 - Hydronephrosis with renal and ureteral calculous obstruction
Use when hydronephrosis is present due to a renal stone.
Applicable To
- Hydronephrosis due to calculus
Excludes
- Calculus of kidney without hydronephrosis (N20.0)
Clinical Validation Requirements
- Imaging showing hydronephrosis with stone obstruction
Coding Notes
N13.2 should replace N20.0 when hydronephrosis is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Right upper quadrant pain
R10.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Renal Stone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N20.0.
Impact
Clinical: May lead to incorrect treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Always include laterality in documentation, Use templates that prompt for laterality
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Increases audit risk, Data Quality: Reduces specificity in data
Mitigation Strategy
Specify 'right renal calculus' to trigger N20.0
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Violates coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use N13.2 alone if hydronephrosis is present
Impact
Failure to specify laterality can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields in EHR for laterality.
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 Right Renal Stone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Renal Stone
Use these documentation templates to ensure complete and accurate documentation for Right Renal Stone. These templates include all required elements for proper coding and billing.
Emergency Department Note
Specialty: Emergency MedicineRequired Elements
- Location: Right kidney
- Size: ___ mm
- Imaging modality: CT/USG
- Associated findings: [ ] Hydronephrosis [ ] Perinephric stranding
- Symptoms: [ ] Flank pain [ ] Hematuria [ ] Dysuria
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Renal Stone? Ask your questions below.