ICD-10 Coding for History of Nephrolithiasis(Z87.442)
Complete ICD-10-CM coding and documentation guide for History of Nephrolithiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Nephrolithiasis
Z87.44-Z87.442Primary Range
Personal history of diseases of the genitourinary system
This range includes codes for personal history of urinary calculi, which is relevant for documenting resolved kidney stones.
Calculus of kidney and ureter
This range includes codes for active kidney stones, which are not applicable for historical cases.
Key Information: ICD-10 code for history of nephrolithiasis
Essential facts and insights about History of Nephrolithiasis
Primary ICD-10-CM Code for history of nephrolithiasis
Decision Criteria
clinical Criteria
- Patient has a documented history of kidney stones that are no longer present.
coding Criteria
- Do not use if stones are currently present.
Applicable To
- History of kidney stones
- History of nephrolithiasis
Clinical Validation Requirements
- Documentation of resolved kidney stones
- Previous imaging or treatment records confirming stone removal
Code-Specific Risks
- Confusing current stones with historical stones
- Incorrect sequencing with active conditions
Coding Notes
- Ensure documentation specifies 'resolved' status of stones.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Follow-up examination after treatment for conditions other than malignant neoplasms
Z09Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Nephrolithiasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.442.
Impact
Clinical: Misinterpretation of patient history., Regulatory: Potential audit issues., Financial: Denied claims due to incorrect coding.
Mitigation Strategy
Use specific language like 'resolved' or 'historical'., Include treatment dates and outcomes.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient history records.
Mitigation Strategy
Use Z87.442 for resolved stones.
Impact
Using history codes for active conditions.
Mitigation Strategy
Regular training on ICD-10 guidelines.
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 Nephrolithiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Nephrolithiasis
Use these documentation templates to ensure complete and accurate documentation for History of Nephrolithiasis. These templates include all required elements for proper coding and billing.
Urology follow-up for historical stones
Specialty: UrologyRequired Elements
- Patient history of nephrolithiasis
- Resolution status
- Previous treatment details
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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