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ICD-10 Guide
ICD-10 CodesN28.89

N28.89

Billable

Other specified disorders of kidney and ureter

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

Code Description

ICD-10 N28.89 is a billable code used to indicate a diagnosis of other specified disorders of kidney and ureter.

Key Diagnostic Point:

N28.89 encompasses a variety of kidney and ureter disorders that do not fall under more specific classifications. This includes conditions such as small kidney (renal hypoplasia), ischemic nephropathy, and other atypical renal disorders. Small kidney refers to a congenital or acquired condition 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 disorders may include rare conditions like renal dysplasia or specific types of nephritis 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. Clinicians must provide detailed clinical information to support the use of this code, including the nature of the disorder, any associated symptoms, and the impact on kidney function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under this code
  • Need for detailed clinical documentation
  • Potential overlap with other kidney codes
  • Variability in clinical presentation

Audit Risk Factors

  • Insufficient documentation to support the diagnosis
  • Misclassification of more specific kidney disorders
  • Inconsistent clinical findings
  • Lack of follow-up or treatment documentation

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed clinical notes, lab results, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with unexplained renal dysfunction, chronic kidney disease with atypical features, or congenital anomalies.

Billing Considerations

Ensure that all relevant diagnostic tests and their results are documented to support the diagnosis.

Urology

Documentation Requirements

Surgical notes, imaging results, and patient history related to urinary tract disorders.

Common Clinical Scenarios

Patients with urinary obstruction or anomalies affecting the ureters.

Billing Considerations

Document any surgical interventions or procedures performed that relate to the kidney or ureter.

Coding Guidelines

Inclusion Criteria

Use N28.89 When
  • According to ICD
  • 10 guidelines, N28
  • 89 should be used when a specific disorder of the kidney or ureter is documented but does not have a more specific code
  • Coders should ensure that the documentation clearly supports the use of this code and that no more specific code applies

Exclusion Criteria

Do NOT use N28.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76700CPT Code

Ultrasound, abdomen, complete

Clinical Scenario

Used to evaluate kidney size and structure in patients with suspected renal disorders.

Documentation Requirements

Document the reason for the ultrasound and findings.

Specialty Considerations

Nephrologists and urologists should ensure imaging results are included in the patient's medical record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of kidney disorders, but N28.89 remains important for capturing atypical cases that do not fit neatly into other categories. Coders must be diligent in ensuring that documentation supports the use of this code.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of kidney disorders, but N28.89 remains important for capturing atypical cases that do not fit neatly into other categories. Coders must be diligent in ensuring that documentation supports the use of this code.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of kidney disorders, but N28.89 remains important for capturing atypical cases that do not fit neatly into other categories. Coders must be diligent in ensuring that documentation supports the use of this code.

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

When should I use N28.89?

N28.89 should be used when a patient has a kidney or ureter disorder that does not have a more specific code available. Ensure that the documentation clearly supports this diagnosis.