Unspecified renal colic
Chapter 14:Diseases of the genitourinary system
ICD-10 N23 is a billable code used to indicate a diagnosis of unspecified renal colic.
Unspecified renal colic refers to the acute pain that occurs due to the obstruction of the urinary tract, typically caused by kidney stones (urolithiasis). This condition is characterized by severe, intermittent pain that radiates from the flank to the groin, often accompanied by hematuria (blood in urine) and urinary urgency. The obstruction can occur in the kidney, ureter, or bladder, leading to increased pressure and distension of the renal pelvis. The pain is often described as colicky, meaning it comes in waves, and can be associated with nausea and vomiting. Diagnosis typically involves imaging studies such as ultrasound or CT scans to identify the presence and location of stones. Treatment options may include conservative management with hydration and pain control, lithotripsy (a procedure that uses shock waves to break up stones), or surgical intervention for larger stones. Dietary modifications, such as increased fluid intake and dietary changes to reduce stone-forming substances, are also recommended to prevent recurrence.
Detailed documentation of symptoms, imaging results, and treatment plans.
Patients presenting with flank pain, hematuria, and confirmed kidney stones.
Ensure that all imaging and treatment modalities are documented to support the diagnosis.
Thorough documentation of patient history, physical examination findings, and initial management.
Patients presenting with acute abdominal pain and suspected renal colic.
Document the urgency of the situation and any immediate interventions performed.
Used when a patient with renal colic requires lithotripsy for stone removal.
Document the indication for lithotripsy and any imaging studies performed.
Urologists should ensure that the procedure is justified based on the patient's clinical presentation.
Use code N23 when a patient presents with renal colic symptoms but the specific cause or location of the obstruction is not documented.
