ICD-10 Coding for Ureteral Stricture(N13.31)
Complete ICD-10-CM coding and documentation guide for Ureteral Stricture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ureteral Stricture
Key Information: ICD-10 code for ureteral stricture
Essential facts and insights about Ureteral Stricture
Primary ICD-10-CM Code for ureteral stricture
Decision Criteria
clinical Criteria
- Presence of hydroureteronephrosis on imaging
coding Criteria
- Differentiate from urethral stricture codes
Applicable To
- Hydroureteronephrosis due to ureteral stricture
Excludes
- Urethral stricture (N35.-)
Clinical Validation Requirements
- Imaging showing ureteral stricture
- Symptoms of obstruction such as flank pain or recurrent UTIs
Code-Specific Risks
- Confusion with urethral stricture codes
Coding Notes
- Ensure imaging supports the diagnosis of ureteral stricture.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hydronephrosis with ureteral stricture
N13.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Post-traumatic urethral stricture, male
N35.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ureteral Stricture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N13.31.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always attach imaging reports to the patient's file, Review documentation before coding
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Misclassification can result in compliance issues., Data Quality: Impacts the accuracy of patient records.
Mitigation Strategy
Verify imaging and clinical documentation to confirm ureteral location.
Impact
Lack of imaging documentation can lead to audit failures.
Mitigation Strategy
Ensure all imaging reports are included in the patient's record.
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 Ureteral Stricture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ureteral Stricture
Use these documentation templates to ensure complete and accurate documentation for Ureteral Stricture. These templates include all required elements for proper coding and billing.
Post-ureteroscopy stricture with hydronephrosis
Specialty: UrologyRequired Elements
- Imaging results
- Symptoms
- Procedure details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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