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v1.0.0
ICD-10 Guide
ICD-10 CodesN28.83

N28.83

Billable

Nephroptosis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N28.83 is a billable code used to indicate a diagnosis of nephroptosis.

Key Diagnostic Point:

Nephroptosis, also known as renal ptosis, is a condition characterized by the abnormal downward displacement of a kidney from its normal anatomical position. This condition can occur due to various factors, including significant weight loss, congenital abnormalities, or trauma. Patients with nephroptosis may experience symptoms such as flank pain, hematuria, or urinary tract infections, although some individuals remain asymptomatic. The diagnosis is typically confirmed through imaging studies, such as ultrasound or CT scans, which reveal the position of the kidney in relation to the vertebral column. Treatment options may vary based on the severity of symptoms and can range from conservative management, including physical therapy and lifestyle modifications, to surgical intervention in more severe cases. Understanding nephroptosis is crucial for medical coders, as accurate coding can impact patient management and reimbursement processes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and presentation among patients
  • Need for precise imaging documentation
  • Differentiation from other renal disorders
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to document imaging results
  • Misclassification with other renal disorders
  • Lack of clarity on treatment plans

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with flank pain or recurrent urinary tract infections.

Billing Considerations

Ensure that imaging studies are clearly documented to support the diagnosis.

Nephrology

Documentation Requirements

Comprehensive assessment of renal function and any associated comorbidities.

Common Clinical Scenarios

Patients with nephroptosis presenting with renal insufficiency or hypertension.

Billing Considerations

Document any renal function tests and their implications for treatment.

Coding Guidelines

Inclusion Criteria

Use N28.83 When
  • According to ICD
  • 10 guidelines, nephroptosis is classified under disorders of the kidney and ureter not elsewhere classified
  • Coders should ensure that the diagnosis is supported by appropriate clinical documentation and imaging studies

Exclusion Criteria

Do NOT use N28.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

50545CPT Code

Laparoscopic nephropexy

Clinical Scenario

Used when surgical intervention is required for nephroptosis.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Urologists should ensure that all pre-operative assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nephroptosis, improving the accuracy of patient records and reimbursement processes. Coders must be familiar with the nuances of this condition to ensure proper coding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nephroptosis, improving the accuracy of patient records and reimbursement processes. Coders must be familiar with the nuances of this condition to ensure proper coding.

Reimbursement & Billing Impact

reimbursement processes. Coders must be familiar with the nuances of this condition to ensure proper coding.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is nephroptosis?

Nephroptosis is the abnormal downward displacement of a kidney, which can lead to various symptoms and complications.

How is nephroptosis diagnosed?

Diagnosis is typically made through imaging studies such as ultrasound or CT scans that show the position of the kidney.

What are the treatment options for nephroptosis?

Treatment may include conservative management or surgical intervention, depending on the severity of symptoms.