Other disorders of kidney and ureter, not elsewhere classified
Chapter 14:Diseases of the genitourinary system
ICD-10 N28 is a billable code used to indicate a diagnosis of other disorders of kidney and ureter, not elsewhere classified.
N28 encompasses a variety of kidney and ureter disorders that do not fit into more specific categories. This includes conditions such as small kidney (renal hypoplasia), ischemic nephropathy, and other unspecified kidney disorders. Small kidney refers to a developmental anomaly where the kidney is smaller than normal, potentially leading to reduced renal function. Ischemic nephropathy is characterized by kidney damage due to inadequate blood supply, often resulting from vascular diseases. Other specified kidney disorders may include conditions like nephrocalcinosis, renal tubular acidosis, or other rare renal pathologies that do not have a dedicated ICD-10 code. Accurate diagnosis and documentation are crucial, as these conditions can significantly impact renal function and overall health, necessitating careful monitoring and management.
Detailed clinical notes including diagnostic tests, imaging results, and treatment plans.
Patients with chronic kidney disease, renal hypoplasia, or ischemic nephropathy.
Ensure that all relevant lab results and imaging studies are documented to support the diagnosis.
Surgical notes, imaging studies, and pathology reports.
Patients presenting with ureteral obstruction or renal anomalies.
Document any surgical interventions or procedures performed to clarify the diagnosis.
When a kidney biopsy is performed to diagnose a specific kidney disorder.
Biopsy report and clinical notes detailing the indication for the procedure.
Nephrologists should ensure that the clinical rationale for the biopsy is well documented.
Use N28 when the specific kidney disorder is not classified elsewhere and there is sufficient documentation to support the diagnosis.