Crossing vessel and stricture of ureter without hydronephrosis
ICD-10 N13.5 is a billable code used to indicate a diagnosis of crossing vessel and stricture of ureter without hydronephrosis.
N13.5 refers to a condition characterized by the presence of a crossing vessel and a stricture in the ureter that does not lead to hydronephrosis. This condition can occur due to anatomical variations where blood vessels cross over the ureter, leading to compression and subsequent narrowing (stricture) of the ureter. The absence of hydronephrosis indicates that there is no significant dilation of the renal pelvis and calyces due to obstruction, which can often accompany ureteral strictures. Patients may present with symptoms such as flank pain, urinary frequency, or recurrent urinary tract infections (UTIs). Diagnosis typically involves imaging studies such as ultrasound or CT scans to visualize the ureter and assess for any obstructions. Management may include surgical intervention to relieve the stricture and address any underlying vascular anomalies. Understanding the implications of this condition is crucial for effective treatment and management of potential complications such as pyelonephritis or interstitial nephritis, which can arise from prolonged obstruction or infection.
Detailed imaging reports, surgical notes, and patient history regarding urinary symptoms.
Patients presenting with flank pain, recurrent UTIs, or post-surgical follow-ups for ureteral strictures.
Ensure that all imaging studies are documented and that the relationship between the crossing vessel and stricture is clearly articulated.
Comprehensive renal function tests, history of kidney disease, and any previous interventions.
Patients with chronic kidney disease who may develop complications from ureteral strictures.
Document any renal impairment and its potential link to the stricture.
Used when performing dilation of a ureteral stricture.
Document the indication for dilation and any imaging findings.
Urology specialists should ensure that the procedure is clearly linked to the diagnosis.
Documenting the absence of hydronephrosis is crucial as it differentiates N13.5 from other codes that involve hydronephrosis, which can significantly affect treatment decisions and coding accuracy.
