ICD-10 Coding for Nephroureterectomy(0TT10ZZ, C67.6)
Complete ICD-10-CM coding and documentation guide for Nephroureterectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Nephroureterectomy
0TT10ZZ-0TTB0ZZPrimary Range
ICD-10-PCS codes for nephroureterectomy procedures
These codes cover the surgical removal of the kidney and ureter, including different surgical approaches.
ICD-10-CM codes for malignant neoplasms of the urinary tract
These codes are used to identify the underlying conditions that may necessitate a nephroureterectomy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0TT10ZZ | Resection of left kidney, open approach | Use when the left kidney is completely removed via an open surgical approach. |
|
| C67.6 | Malignant neoplasm of ureteric orifice | Use when a malignant tumor is located at the ureteric orifice. |
|
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 nephroureterectomy
Essential facts and insights about Nephroureterectomy
Primary ICD-10-CM Codes for nephroureterectomy
Decision Criteria
clinical Criteria
- Open surgical approach documented
documentation Criteria
- Operative note specifies complete kidney removal
Applicable To
- Complete removal of the kidney
Excludes
- Partial nephrectomy
Clinical Validation Requirements
- Operative report confirming open approach
- Pathology report indicating complete kidney removal
Code-Specific Risks
- Incorrectly coding for laparoscopic approach
Coding Notes
- Ensure documentation specifies the surgical approach and laterality.
C67.6 - Malignant neoplasm of ureteric orifice
Use when a malignant tumor is located at the ureteric orifice.
Applicable To
- Cancer involving the ureteric orifice
Excludes
- Benign neoplasms
Clinical Validation Requirements
- Pathology report confirming malignancy
- Imaging showing tumor at ureteric orifice
Coding Notes
Ensure tumor location is clearly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Resection of ureter, open approach
0TTB0ZZDifferential 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 Nephroureterectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0TT10ZZ.
Impact
Clinical: Ambiguity in surgical records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always document left or right in operative notes, Use checklists to ensure completeness
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate surgical data in patient records.
Mitigation Strategy
Verify the surgical approach in the operative report and use appropriate laparoscopic codes.
Impact
Coding laparoscopic procedures as open surgeries.
Mitigation Strategy
Regular training on coding updates and surgical techniques.
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 Nephroureterectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Nephroureterectomy
Use these documentation templates to ensure complete and accurate documentation for Nephroureterectomy. These templates include all required elements for proper coding and billing.
Robotic nephroureterectomy with bladder cuff excision
Specialty: UrologyRequired Elements
- Surgical approach
- Structures removed
- Tumor size and location
- Margin status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Nephroureterectomy? Ask your questions below.