ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN28.81

N28.81

Billable

Hypertrophy of kidney

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N28.81 is a billable code used to indicate a diagnosis of hypertrophy of kidney.

Key Diagnostic Point:

Hypertrophy of the kidney refers to an increase in the size of the kidney due to an increase in the size of its cells. This condition can occur as a compensatory response to various renal pathologies, such as unilateral renal agenesis or chronic kidney disease, where the remaining kidney compensates for the loss of function. Hypertrophy may also be associated with conditions like hypertension or diabetes, where the kidney works harder to filter blood. Clinically, hypertrophy can be identified through imaging studies such as ultrasound or CT scans, which reveal an enlarged kidney. Symptoms may vary depending on the underlying cause but can include flank pain, hematuria, or signs of renal insufficiency. It is essential to differentiate hypertrophy from other renal disorders, such as renal tumors or cysts, which may present similarly on imaging. Management typically focuses on addressing the underlying cause and monitoring renal function, as hypertrophy can lead to complications such as ischemic nephropathy if left untreated.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating hypertrophy from other renal conditions like tumors or cysts.
  • Understanding the underlying causes that may lead to hypertrophy.
  • Interpreting imaging studies accurately to confirm diagnosis.
  • Documenting associated symptoms and comorbidities effectively.

Audit Risk Factors

  • Inadequate documentation of the underlying cause of hypertrophy.
  • Failure to provide imaging results that support the diagnosis.
  • Misclassification of hypertrophy as a more severe renal disorder.
  • Lack of follow-up documentation regarding renal function.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed history of renal function, imaging studies, and laboratory results.

Common Clinical Scenarios

Patients with chronic kidney disease, hypertension, or diabetes presenting with renal enlargement.

Billing Considerations

Ensure comprehensive documentation of renal function tests and any interventions performed.

Radiology

Documentation Requirements

Clear imaging reports indicating kidney size and any abnormalities.

Common Clinical Scenarios

Imaging studies performed for patients with suspected renal disorders.

Billing Considerations

Accurate interpretation of imaging findings is crucial for correct coding.

Coding Guidelines

Inclusion Criteria

Use N28.81 When
  • According to ICD
  • 10 guidelines, N28
  • 81 should be used when hypertrophy is specifically documented and not due to other specified conditions
  • It is essential to ensure that the diagnosis is supported by clinical findings and imaging results

Exclusion Criteria

Do NOT use N28.81 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76700CPT Code

Ultrasound, abdomen, complete

Clinical Scenario

Used to evaluate kidney size and structure in patients with suspected hypertrophy.

Documentation Requirements

Imaging report must clearly indicate kidney size and any abnormalities.

Specialty Considerations

Radiologists should provide detailed findings to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of renal conditions, including hypertrophy, which enhances the accuracy of clinical data and improves patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of renal conditions, including hypertrophy, which enhances the accuracy of clinical data and improves patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of renal conditions, including hypertrophy, which enhances the accuracy of clinical data and improves patient care management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of kidney hypertrophy?

Kidney hypertrophy is primarily caused by compensatory mechanisms due to loss of renal function or mass, often seen in conditions like unilateral renal agenesis or chronic kidney disease.