ICD-10 Coding for Solitary Kidney(Q60.0, N18.80, Z94.0)
Complete ICD-10-CM coding and documentation guide for Solitary Kidney. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Solitary Kidney
Q60-Q64Primary Range
Congenital malformations of the urinary system
Includes codes for congenital absence of kidney, which is relevant for solitary kidney due to agenesis.
Chronic kidney disease (CKD) and renal failure
Includes codes for CKD stages, relevant if the solitary kidney has impaired function.
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Includes codes for kidney transplant status, relevant if the patient has a transplant.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Q60.0 | Renal agenesis, unilateral | Use when the patient is born with one kidney absent. |
|
| N18.80 | Unilateral chronic impairment of renal function | Use when the solitary kidney shows chronic impairment. |
|
| Z94.0 | Kidney transplant status | Use when the patient has undergone a kidney transplant. |
|
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 solitary kidney
Essential facts and insights about Solitary Kidney
Primary ICD-10-CM Codes for solitary kidney
Decision Criteria
clinical Criteria
- Absence of one kidney confirmed by imaging
Applicable To
- Congenital absence of one kidney
Excludes
- Acquired absence of kidney (Z90.5)
Clinical Validation Requirements
- Confirmed by prenatal or postnatal ultrasound
Code-Specific Risks
- Misclassification if not confirmed by imaging
Coding Notes
- Ensure documentation specifies congenital absence.
N18.80 - Unilateral chronic impairment of renal function
Use when the solitary kidney shows chronic impairment.
Applicable To
- Chronic impairment in a solitary kidney
Excludes
- Bilateral chronic impairment (N18.9)
Clinical Validation Requirements
- GFR <60 mL/min/1.73m²
- Presence of proteinuria
Coding Notes
Document the cause of impairment and GFR values.
Z94.0 - Kidney transplant status
Use when the patient has undergone a kidney transplant.
Applicable To
- Status post kidney transplant
Excludes
- Complications of transplanted kidney (T86.1-)
Clinical Validation Requirements
- Documented history of kidney transplant
Coding Notes
Ensure transplant status is clearly documented.
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 Solitary Kidney to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q60.0.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always specify whether the condition is congenital or acquired., Include imaging results in the patient record.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient health records.
Mitigation Strategy
Always use specific CKD stage codes when GFR is documented.
Impact
Incorrect staging of CKD can lead to audit flags.
Mitigation Strategy
Ensure accurate documentation of GFR and proteinuria.
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 Solitary Kidney, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Solitary Kidney
Use these documentation templates to ensure complete and accurate documentation for Solitary Kidney. These templates include all required elements for proper coding and billing.
Congenital Solitary Kidney with Normal Function
Specialty: NephrologyRequired Elements
- Patient history
- Imaging results
- GFR values
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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