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v1.0.0
ICD-10 Guide
DiagnosesNephroureterectomy

Nephroureterectomy

ICD-10 Coding for Nephroureterectomy(0TT10ZZ, C67.6)

PRIMARY SPECIALTYUrology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Nephroureterectomy?
Essential facts and insights about Nephroureterectomy

Key Clinical Considerations:

  • Hematuria
  • Flank pain
  • Palpable abdominal mass
  • Urinary tract infections
  • Key diagnostic tests: CT scan, MRI, Ultrasound
  • Physical exam findings: Abdominal tenderness, Costovertebral angle tenderness

Clinical Information

Clinical Criteria & Documentation Requirements

  • Operative report detailing the procedure
  • Preoperative diagnosis and indications for surgery
  • Postoperative complications and follow-up plan
  • Specific coding terminology: Nephroureterectomy, Laparoscopic nephroureterectomy
  • Documentation examples: 'Patient underwent nephroureterectomy due to renal cell carcinoma.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Ensure accurate coding based on the specific diagnosis and procedure performed.
  • Common errors: Misclassifying the type of nephroureterectomy (open vs. laparoscopic) or failing to document complications.

Code Exclusions

Important Exclusions

  • Excluded conditions: Patients with severe comorbidities that contraindicate surgery.
  • Alternative codes: Codes for conservative management of kidney disease or benign conditions.

Related ICD-10 Codes

Primary Codes
C64.9
Malignant neoplasm of unspecified kidney
N20.0
Calculus of kidney
N30.9
Cystitis, unspecified
Ancillary Codes
0TTB0ZZ
Differential Codes
0TT00ZZ
C65.1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Urology

Specialty Applications

  • Patient populations: Patients with renal tumors, ureteral obstruction, or severe kidney disease.
  • Clinical settings: Urology clinics, hospitals, surgical centers.

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?

Complete operative report, preoperative and postoperative diagnoses, and any imaging results.

Billing considerations?

Ensure correct coding of the procedure and any associated diagnoses; check for payer-specific guidelines.