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v1.0.0
ICD-10 Guide
ICD-10 CodesN28.82

N28.82

Billable

Megaloureter

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

Code Description

ICD-10 N28.82 is a billable code used to indicate a diagnosis of megaloureter.

Key Diagnostic Point:

Megaloureter is a condition characterized by the abnormal dilation of the ureter, which can occur due to various underlying causes such as obstruction, reflux, or congenital anomalies. This condition can lead to significant complications, including urinary tract infections, kidney damage, and hydronephrosis. Patients may present with symptoms such as flank pain, hematuria, or recurrent urinary tract infections. Diagnosis typically involves imaging studies such as ultrasound, CT scans, or MRI to assess the degree of dilation and identify any obstructive lesions. Treatment options may vary from conservative management to surgical interventions, depending on the severity of the condition and the presence of complications. It is essential for healthcare providers to monitor renal function and manage any associated conditions to prevent long-term renal impairment. The complexity of coding for megaloureter arises from the need to accurately document the underlying cause, associated symptoms, and any concurrent kidney disorders, making it crucial for coders to have a comprehensive understanding of the patient's clinical picture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of underlying causes
  • Potential for associated kidney disorders
  • Variability in presentation and symptoms
  • Requirement for imaging studies to confirm diagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the underlying cause of megaloureter
  • Lack of imaging results in the medical record
  • Inconsistent coding of associated kidney disorders

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with flank pain, recurrent UTIs, or incidental findings on imaging.

Billing Considerations

Ensure documentation reflects the severity of the condition and any interventions performed.

Nephrology

Documentation Requirements

Comprehensive renal function assessments and management plans.

Common Clinical Scenarios

Patients with chronic kidney disease secondary to urinary obstruction.

Billing Considerations

Document any renal impairment and its relation to megaloureter.

Coding Guidelines

Inclusion Criteria

Use N28.82 When
  • According to ICD
  • 10 guidelines, N28
  • 82 should be used when megaloureter is diagnosed without a more specific code
  • Coders should ensure that the documentation supports the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use N28.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52332CPT Code

Ureteral stent placement

Clinical Scenario

Performed to relieve obstruction in cases of megaloureter.

Documentation Requirements

Document indication for stenting and imaging findings.

Specialty Considerations

Urology specialists should ensure clear linkage between diagnosis and procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like megaloureter, improving the accuracy of clinical data and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like megaloureter, improving the accuracy of clinical data and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common symptoms of megaloureter?

Common symptoms include flank pain, hematuria, and recurrent urinary tract infections. Some patients may be asymptomatic.