ICD-10-CM Billable Code

N28.86

Ureteritis cystica

Clinical Classification Guidelines

Medical Intelligence & Overview

Ureteritis cystica is a benign condition characterized by the formation of small cysts within the lining of the ureter, which are the tubes that carry urine from the kidneys to the bladder. Although it is considered benign and often discovered incidentally, understanding its nature, causes, symptoms, and management is important for maintaining urinary tract health. This condition is classified under ICD-10 code N28.86 and typically does not cause significant health issues, but it warrants attention because it may be associated with other urinary system conditions.

Causes & Symptoms

Clinical Causes: Chronic inflammation of the ureter History of urinary tract infections (UTIs) Chronic irritation from kidney stones or calcifications Long-standing urinary obstruction Previous urological surgeries or interventions Underlying conditions such as tubulointerstitial diseases

Key Symptoms: Often asymptomatic and discovered incidentally during imaging studies Intermittent or persistent pain in the flank or abdomen Hematuria (blood in the urine) Frequent urination or urgency Dysuria (painful urination) Signs of urinary obstruction in some cases, such as reduced urine flow

Diagnostic & Treatment

Diagnosis Path: Diagnosis of ureteritis cystica typically involves imaging techniques and direct visualization. Common methods include:

Treatment Protocols: Most cases of ureteritis cystica do not require treatment, especially when discovered incidentally and asymptomatic. Management focuses on addressing underlying causes and preventing complications:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is N28.86 a billable ICD-10 code?
Yes, N28.86 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report N28.86?
Clinical documentation must specify the nature of Ureteritis cystica and any associated comorbidities for accurate reporting.

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