ICD-10 Guide

History Of Nephrectomy

ICD-10 Coding for History of Nephrectomy(Z90.5, Z52.4)

PRIMARY SPECIALTYUrology

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is History Of Nephrectomy?

Essential facts and insights about History of Nephrectomy

Key Clinical Considerations:

Previous nephrectomy history documented in medical records
Symptoms related to renal function or complications from nephrectomy
Physical examination may reveal signs of renal insufficiency or compensatory hypertrophy of remaining kidney

Clinical Information

Clinical Criteria & Documentation Requirements

History of nephrectomy must be clearly stated in the patient's medical history
Use of specific terminology such as 'unilateral nephrectomy' or 'partial nephrectomy'
Examples include: 'Patient has a history of left nephrectomy due to renal cell carcinoma.'

Coding Guidelines

Usage Guidelines & Examples

Usage guidelines include ensuring the code reflects the specific type of nephrectomy performed.
Common errors include misclassifying the nephrectomy type or failing to document the history adequately.

Code Exclusions

Important Exclusions

Conditions such as congenital absence of kidney or bilateral nephrectomy
Alternative codes may include those for complications arising from nephrectomy.

Specialty Focus

Primary Specialty

Urology

Specialty Applications

Patients with a history of kidney disease or cancer requiring nephrectomy
Urology clinics, nephrology practices, and general healthcare settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the type of nephrectomy, date of procedure, and any complications.

Billing considerations?

Ensure accurate coding to reflect the history and any related conditions for proper reimbursement.

History Of Nephrectomy

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

History Of Nephrectomy

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?