ICD-10 Coding for Ureter Stone(N20.1, N20.2)
Complete ICD-10-CM coding and documentation guide for Ureter Stone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ureter Stone
N20-N23Primary Range
Calculus of kidney and ureter
This range includes codes for stones in the kidney and ureter, which are relevant for coding ureter stones.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N20.1 | Calculus of ureter | Use when a stone is confirmed in the ureter without concurrent kidney stones. |
|
| N20.2 | Calculus of kidney with calculus of ureter | Use when stones are confirmed in both the kidney and ureter. |
|
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 ureter stone
Essential facts and insights about Ureter Stone
Primary ICD-10-CM Codes for ureter stone
Decision Criteria
clinical Criteria
- Presence of ureteral stone confirmed by imaging
documentation Criteria
- Specify laterality and size of the stone
N20.2 - Calculus of kidney with calculus of ureter
Use when stones are confirmed in both the kidney and ureter.
Applicable To
- Stones in both kidney and ureter
Excludes
- Calculus of bladder (N21.0)
Clinical Validation Requirements
- Imaging showing stones in both kidney and ureter
Coding Notes
Ensure documentation specifies stones in both locations.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hydronephrosis with ureteral obstruction
N13.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ureter Stone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N20.1.
Impact
Clinical: Impacts treatment decisions., Regulatory: May lead to coding errors., Financial: Potential claim denials.
Mitigation Strategy
Always measure and document stone size., Include size in imaging reports.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure hydronephrosis is documented before using N13.2.
Impact
Risk of coding N13.2 without proper documentation.
Mitigation Strategy
Implement checklist for hydronephrosis documentation.
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 Ureter Stone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ureter Stone
Use these documentation templates to ensure complete and accurate documentation for Ureter Stone. These templates include all required elements for proper coding and billing.
Uncomplicated Ureteral Stone
Specialty: UrologyRequired Elements
- Stone location
- Size
- Symptoms
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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