Calculus of urinary tract in diseases classified elsewhere
Chapter 14:Diseases of the genitourinary system
ICD-10 N22 is a billable code used to indicate a diagnosis of calculus of urinary tract in diseases classified elsewhere.
N22 refers to the presence of urinary tract calculi, or stones, that are secondary to other underlying diseases. These stones can form in the kidneys (nephrolithiasis), ureters (ureterolithiasis), or bladder, and are often composed of calcium, uric acid, or struvite. Patients may present with symptoms such as flank pain, hematuria, and urinary obstruction. The formation of these calculi can be influenced by various factors including metabolic disorders, dehydration, and dietary habits. Treatment options may include lithotripsy, which uses shock waves to break up stones, or surgical removal in cases of larger stones or complications. Dietary modifications, such as increased fluid intake and dietary adjustments to reduce oxalate or purine intake, are often recommended to prevent recurrence. Accurate coding requires understanding the underlying disease causing the stone formation, as N22 is specifically used when the calculus is a manifestation of another condition.
Detailed patient history, imaging results, and treatment plans.
Patients presenting with renal colic, recurrent urinary tract infections, or obstructive uropathy due to stones.
Ensure documentation reflects the relationship between the underlying condition and stone formation.
Comprehensive metabolic evaluation and management plans.
Patients with chronic kidney disease and stone formation due to metabolic disorders.
Document metabolic evaluations and dietary recommendations clearly.
Used for patients with calculi requiring non-invasive treatment.
Document indication for lithotripsy and imaging results.
Urology specialists must ensure proper coding of the procedure based on the type of calculus.
Used for surgical removal of bladder stones.
Document the type of stones and any complications.
Urologists should provide detailed operative notes.
Use N22 when the urinary tract calculus is a complication of another disease, while N20 should be used for calculi that are not associated with other conditions.
