Hydronephrosis with renal and ureteral calculous obstruction
ICD-10 N13.2 is a billable code used to indicate a diagnosis of hydronephrosis with renal and ureteral calculous obstruction.
Hydronephrosis with renal and ureteral calculous obstruction is a condition characterized by the dilation of the renal pelvis and calyces due to the accumulation of urine, which occurs when there is an obstruction in the urinary tract, typically caused by kidney stones (calculi). This obstruction can lead to increased pressure within the renal system, resulting in potential damage to renal parenchyma and impaired kidney function. The condition may be associated with pyelonephritis, an infection of the kidney, or interstitial nephritis, which is inflammation of the kidney's interstitial tissue. Patients may present with flank pain, hematuria, and urinary tract infections (UTIs). Drug-induced nephropathy can also complicate the clinical picture, particularly in patients taking nephrotoxic medications. Management often involves addressing the underlying obstruction, which may require surgical intervention, and treating any associated infections with appropriate antibiotics. Close monitoring of renal function is essential to prevent long-term complications.
Detailed imaging reports, surgical notes, and lab results indicating the presence of calculi and hydronephrosis.
Patients presenting with flank pain, hematuria, or recurrent UTIs due to obstructive uropathy.
Ensure clear documentation of the obstruction's location and any interventions performed.
Comprehensive renal function tests, imaging studies, and history of drug use that may contribute to nephropathy.
Patients with chronic kidney disease exacerbated by hydronephrosis or drug-induced nephropathy.
Document renal function trends and any changes in medication that may affect kidney health.
Used in cases of obstructive hydronephrosis to relieve obstruction.
Document indication for stenting and any imaging findings.
Urology specialists should ensure that the procedure is clearly linked to the diagnosis.
Common causes include kidney stones, tumors, strictures, and congenital abnormalities that obstruct urine flow.
Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with clinical evaluation of symptoms.
Treatment often involves relieving the obstruction, which may require surgical intervention, and managing any associated infections with antibiotics.
