2025 ICD-10-CM code N13.8
(Active) Effective Date: N/A Diseases of the genitourinary system - Obstructive and reflux uropathy N00-N99 Feed
Other obstructive and reflux uropathy.Urinary tract obstruction due to a specified cause.
Medical necessity must be established by documenting the symptoms, signs, and diagnostic findings that support the diagnosis of obstructive and reflux uropathy.
The physician is responsible for documenting the specific cause of the obstruction and reflux, along with any associated conditions.
In simple words: This code represents other types of blockage and backward flow of urine in the urinary tract.
Other obstructive and reflux uropathy. This code should be used with a code for any causal condition, such as enlarged prostate (N40.1).
Example 1: A patient presents with urinary retention and flank pain. Imaging reveals hydronephrosis due to a retroperitoneal fibrosis not otherwise specified. N13.8 is coded along with the casual condition., A pregnant woman experiences recurrent urinary tract infections. Testing shows vesicoureteral reflux but without hydronephrosis. N13.8 is reported along with the code O26.31 for the pregnancy-related condition., A patient with a known history of benign prostatic hyperplasia (BPH) develops urinary tract symptoms. Diagnostic studies confirm obstructive uropathy secondary to the enlarged prostate. N13.8 along with N40.1 for BPH is coded.
Documentation should include type of obstruction and reflux, laterality if applicable, associated conditions, and diagnostic test results.
- Payment Status: Active
- Specialties:Urology, Nephrology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office