Calculus of lower urinary tract
Chapter 14:Diseases of the genitourinary system
ICD-10 N21 is a billable code used to indicate a diagnosis of calculus of lower urinary tract.
Calculus of the lower urinary tract refers to the presence of stones (calculi) in the bladder or urethra. These stones can form from various substances, including calcium, oxalate, uric acid, and struvite, often as a result of dehydration, dietary factors, or metabolic disorders. Symptoms may include hematuria (blood in urine), dysuria (painful urination), and urinary obstruction, which can lead to significant discomfort and complications if left untreated. Diagnosis typically involves imaging studies such as ultrasound or CT scans, and treatment options may include lithotripsy, which uses shock waves to break up stones, or surgical removal in more severe cases. Dietary modifications, such as increasing fluid intake and reducing oxalate-rich foods, can help prevent recurrence. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and patient education.
Detailed imaging reports, patient history, and treatment plans.
Patients presenting with flank pain, hematuria, or urinary obstruction.
Ensure accurate coding of the type of calculus and any associated procedures performed.
Dietary assessments and recommendations for stone prevention.
Patients with recurrent urinary stones requiring dietary intervention.
Document specific dietary changes and patient adherence to recommendations.
Used for patients with calculi in the lower urinary tract requiring non-invasive treatment.
Document the size and location of the calculus, as well as the patient's response to treatment.
Urologists should ensure that all imaging studies are available for review.
Common causes include dehydration, dietary factors (high oxalate or sodium intake), metabolic disorders, and urinary tract infections.
