Other hydronephrosis
ICD-10 N13.39 is a billable code used to indicate a diagnosis of other hydronephrosis.
Hydronephrosis refers to the swelling of a kidney due to a build-up of urine. It occurs when there is an obstruction in the urinary tract that prevents urine from draining properly from the kidney to the bladder. Other hydronephrosis (N13.39) encompasses cases that do not fall under specific categories of hydronephrosis, such as those caused by congenital anomalies, stones, or tumors. This condition can lead to complications such as pyelonephritis, which is an infection of the kidney, and interstitial nephritis, an inflammatory condition affecting the kidney's interstitium. Drug-induced nephropathy can also contribute to hydronephrosis, particularly when medications cause urinary obstruction or renal impairment. Patients with hydronephrosis may present with flank pain, urinary tract infections (UTIs), and changes in urinary output. Management often involves addressing the underlying cause of the obstruction, which may include surgical intervention, and antibiotic therapy to treat any associated infections. Accurate coding is essential for proper treatment and reimbursement, as hydronephrosis can significantly impact renal function if left untreated.
Detailed history of urinary symptoms, imaging results, and treatment plans.
Patients presenting with flank pain, hematuria, or recurrent UTIs.
Ensure documentation specifies the cause of hydronephrosis and any interventions performed.
Comprehensive renal function tests, history of kidney disease, and medication review.
Patients with chronic kidney disease presenting with acute changes in renal function.
Document any drug-induced nephropathy and its relation to hydronephrosis.
Used to visualize the urinary tract in cases of suspected obstruction.
Document indications for the procedure and findings.
Urologists typically perform this procedure.
Hydronephrosis can be caused by various factors, including urinary tract obstructions from stones, tumors, or strictures, as well as congenital anomalies.
Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with a review of the patient's symptoms and medical history.
Treatment focuses on relieving the obstruction, which may involve surgical intervention, and managing any infections with antibiotics.
