ICD-10 Coding for Right Ureteral Stone(N20.1, N13.2)
Complete ICD-10-CM coding and documentation guide for Right Ureteral Stone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Ureteral Stone
N20-N23Primary Range
Urolithiasis
This range includes codes for stones in the urinary tract, including the ureter.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N20.1 | Calculus of ureter | Use when a stone is confirmed in the ureter without hydronephrosis. |
|
| N13.2 | Hydronephrosis with ureteral calculus | Use when hydronephrosis is present with the ureteral 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 ureteral stone
Essential facts and insights about Right Ureteral Stone
Primary ICD-10-CM Codes for right ureteral stone
Decision Criteria
clinical Criteria
- Stone confirmed in ureter without hydronephrosis.
coding Criteria
- Hydronephrosis present with ureteral stone.
Applicable To
- Right ureteral stone
Clinical Validation Requirements
- Imaging confirmation of stone in the ureter
- Symptoms such as flank pain or hematuria
Code-Specific Risks
- Incorrectly coding when hydronephrosis is present.
Coding Notes
- Ensure laterality is documented as 'right'.
N13.2 - Hydronephrosis with ureteral calculus
Use when hydronephrosis is present with the ureteral stone.
Applicable To
- Obstructive uropathy due to ureteral stone
Excludes
- Calculus of ureter without hydronephrosis (N20.1)
Clinical Validation Requirements
- Imaging showing hydronephrosis and ureteral stone
- Symptoms of obstruction
Coding Notes
Ensure hydronephrosis is documented if present.
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 Ureteral Stone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N20.1.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Review imaging reports thoroughly., Ensure documentation reflects all findings.
Impact
Reimbursement: Incorrect DRG assignment can affect reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N13.2 instead.
Impact
Using N20.1 instead of N13.2 when hydronephrosis is present.
Mitigation Strategy
Regular training on ICD-10 coding updates.
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 Ureteral Stone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Ureteral Stone
Use these documentation templates to ensure complete and accurate documentation for Right Ureteral Stone. These templates include all required elements for proper coding and billing.
Uncomplicated Right Ureteral Stone
Specialty: UrologyRequired Elements
- Patient symptoms
- Imaging findings
- Stone location and size
- Presence or absence of hydronephrosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right Ureteral Stone? Ask your questions below.