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ICD-10 Coding for Personal History of Kidney Stones(Z87.442)

Complete ICD-10-CM coding and documentation guide for Personal History of Kidney Stones. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

History of Renal CalculiHistory of Nephrolithiasis

Related ICD-10 Code Ranges

Complete code families applicable to Personal History of Kidney Stones

Z87.44-Z87.448Primary Range

Personal history of diseases of the genitourinary system

This range includes codes for personal history of urinary system conditions, specifically Z87.442 for kidney stones.

Key Information: ICD-10 code for personal history of kidney stones

Essential facts and insights about Personal History of Kidney Stones

The ICD-10 code for personal history of kidney stones is Z87.442, used for resolved history with no current stones.

Primary ICD-10-CM Code for personal history of kidney stones

Personal history of urinary calculi
Billable Code

Decision Criteria

clinical Criteria

  • No current symptoms or imaging evidence of stones

documentation Criteria

  • Explicit mention of 'personal history' in the medical record

Applicable To

  • History of kidney stones
  • History of renal calculi

Excludes

Clinical Validation Requirements

  • Previous imaging showing stones
  • Documentation of stone passage or treatment
  • Current imaging showing no stones

Code-Specific Risks

  • Confusing with active stone codes
  • Incorrect sequencing in relation to other codes

Coding Notes

  • Ensure documentation clearly states 'personal history' to avoid confusion with active conditions.

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 neoplasm

Z09
Use for follow-up visits post stone treatment, sequence after Z87.442.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Calculus of kidney

N20.0
Use N20.0 for active kidney stones confirmed by imaging or symptoms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Personal History of Kidney Stones 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 status., Regulatory: Potential audit issues., Financial: Claim denials.

Mitigation Strategy

Use templates with required fields., Regular training on documentation standards.

Impact

Reimbursement: Incorrect code may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use Z87.442 for resolved history of stones.

Impact

Risk of audits due to insufficient documentation of history.

Mitigation Strategy

Ensure detailed documentation of past stone episodes and current status.

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 Personal History of Kidney Stones, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Personal History of Kidney Stones

Use these documentation templates to ensure complete and accurate documentation for Personal History of Kidney Stones. These templates include all required elements for proper coding and billing.

Urology Follow-Up

Specialty: Urology

Required Elements

  • Patient history
  • Current symptoms
  • Imaging results

Example Documentation

Patient with personal history of calcium oxalate renal calculi, last episode resolved 6/2023, currently asymptomatic.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hx kidney stones
Good Documentation Example
Personal history of calcium oxalate renal calculi (last CT-confirmed 1/2024), currently asymptomatic.
Explanation
The good example specifies the type of stone, last confirmation, and current status.

Need help with ICD-10 coding for Personal History of Kidney Stones? Ask your questions below.

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