N13.6
Pyonephrosis
Clinical Classification Guidelines
Use Additional Code
- code (B95-B97), to identify infectious agent.
Inclusion Terms
- Conditions in N13.0-N13.5 with infection
- Obstructive uropathy with infection
Medical Intelligence & Overview
Pyonephrosis is a serious medical condition characterized by the accumulation of pus in the kidney due to infection, often related to urinary obstruction. It is classified under ICD-10 code N13.6 and occurs when an infection causes the kidney's collecting system to fill with pus, leading to potential kidney damage if not treated promptly. This condition is a complication that can arise from obstructive uropathy with infection, highlighting its association with blockages in the urinary tract that become infected.
Causes & Symptoms
Clinical Causes: Blockage of the urinary tract (obstructive uropathy) due to kidney stones, tumors, or strictures Urinary tract infections that ascend to involve the kidney Obstructive conditions combined with infection, leading to pus accumulation Urinary retention or impaired urine flow, facilitating bacterial growth Incomplete or delayed treatment of urinary infections
Key Symptoms: Fever and chills Flank pain or tenderness in the back or side Pain during urination Persistent urinary urgency or frequency Nausea and vomiting General feeling of illness or malaise Possible visible pus or blood in urine
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of medical history, physical examination, and diagnostic tests. Urinalysis often reveals pus (pyuria) and bacteria. Blood tests may show signs of infection or kidney impairment. Imaging techniques, such as ultrasound or computed tomography (CT) scans, help identify kidney swelling, obstruction, and the presence of pus. In some cases, a dateure or other procedures may be utilized to assess the extent of the infection and obstruction.
Treatment Protocols: Hospitalization to monitor and manage the infection Administration of antibiotics to combat bacterial infection Drainage of pus from the kidney, typically through procedures like nephrostomy or percutaneous drainage Addressing the underlying obstruction, which may involve removing kidney stones, relieving strictures, or surgical intervention Supportive care, including hydration and pain management
Clinical Advice & FAQs
Billing Guidance
Is N13.6 a billable ICD-10 code?
Yes, N13.6 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report N13.6?
Clinical documentation must specify the nature of Pyonephrosis and any associated comorbidities for accurate reporting.
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