ICD-10-CM Billable Code

N13.73

Vesicoureteral-reflux with reflux nephropathy with hydroureter

Clinical Classification Guidelines

Medical Intelligence & Overview

Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and kidneys. When this reflux leads to kidney damage, it is referred to as reflux nephropathy. The presence of hydroureter, which is swelling of the ureter due to urine buildup, often accompanies this condition. The ICD-10 code N13.73 describes this specific medical condition, highlighting the combined effects of urinary reflux, kidney injury, and ureteral swelling. Understanding this diagnosis is essential for managing and treating the associated health issues effectively.

Causes & Symptoms

Clinical Causes: Congenital abnormalities affecting the valve mechanism at the bladder-ureter junction Genetic factors that predispose to urinary tract malformations Urinary tract obstructions that increase pressure and cause reflux Infections that weaken the structural integrity of the urinary tract Neurological disorders impacting bladder function

Key Symptoms: Recurrent urinary infections Flank pain or discomfort in the side of the body Frequent or urgent urination Pain during urination Hematuria, or blood in the urine Poor growth or development in children with systemic effects Fever associated with urinary infections

Diagnostic & Treatment

Diagnosis Path: Diagnosing vesicoureteral reflux with reflux nephropathy and hydroureter involves various tests to assess urinary tract structure and function. These include:

Treatment Protocols: Managing this condition involves a combination of approaches aimed at preventing kidney damage, controlling symptoms, and addressing underlying causes:

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 N13.73 a billable ICD-10 code?
Yes, N13.73 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report N13.73?
Clinical documentation must specify the nature of Vesicoureteral-reflux with reflux nephropathy with hydroureter and any associated comorbidities for accurate reporting.

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