ICD-10 Coding for Right Nephrolithiasis(N20.0)
Complete ICD-10-CM coding and documentation guide for Right Nephrolithiasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Nephrolithiasis
N20-N23Primary Range
Calculus of kidney and ureter
This range includes codes for kidney stones and related conditions, such as nephrolithiasis and renal colic.
Key Information: ICD-10 code for right nephrolithiasis
Essential facts and insights about Right Nephrolithiasis
Primary ICD-10-CM Code for right nephrolithiasis
Decision Criteria
clinical Criteria
- Confirmed renal calculus on imaging without hydronephrosis.
coding Criteria
- Do not use with N13.2 if hydronephrosis is present.
documentation Criteria
- Document stone size and location.
Applicable To
- Nephrolithiasis
- Renal calculus
- Staghorn calculus
Excludes
- N13.2 (Hydronephrosis with obstruction)
Clinical Validation Requirements
- Imaging confirmation of renal calculus
- Documentation of stone size and location
Code-Specific Risks
- Incorrectly coding with N13.2 when hydronephrosis is present
Coding Notes
- Ensure documentation specifies the right kidney for clinical clarity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Right Nephrolithiasis 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 documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always specify right or left in clinical notes., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect DRG assignment and potential claim denial., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N13.2 alone when hydronephrosis is present.
Impact
Using N20.0 and N13.2 together when hydronephrosis is present.
Mitigation Strategy
Educate coders on Excludes1 notes and proper sequencing.
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 Nephrolithiasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Nephrolithiasis
Use these documentation templates to ensure complete and accurate documentation for Right Nephrolithiasis. These templates include all required elements for proper coding and billing.
Right nephrolithiasis with hematuria
Specialty: UrologyRequired Elements
- Patient history
- Imaging results
- Symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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