2023

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  3. The 2023 Diagnosis Related Groups dataset

DRG 694

Urinary stones without mcc

  • N11.1
    Chronic obstructive pyelonephritis
  • N13.0
    Hydronephrosis with ureteropelvic junction obstruction
  • N13.1
    Hydronephrosis with ureteral stricture, not elsewhere classified
  • N13.2
    Hydronephrosis with renal and ureteral calculous obstruction
  • N13.30
    Unspecified hydronephrosis
  • N13.39
    Other hydronephrosis
  • N13.4
    Hydroureter
  • N13.8
    Other obstructive and reflux uropathy
  • N20.0
    Calculus of kidney
  • N20.1
    Calculus of ureter
  • N20.2
    Calculus of kidney with calculus of ureter
  • N20.9
    Urinary calculus, unspecified
  • N21.0
    Calculus in bladder
  • N21.1
    Calculus in urethra
  • N21.8
    Other lower urinary tract calculus
  • N21.9
    Calculus of lower urinary tract, unspecified
  • N22
    Calculus of urinary tract in diseases classified elsewhere
  • N23
    Unspecified renal colic
ICD-10-CM N11.1

Chronic obstructive pyelonephritis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To
  • Pyelonephritis (chronic) associated with anomaly of pelviureteric junction
  • Pyelonephritis (chronic) associated with anomaly of pyeloureteric junction
  • Pyelonephritis (chronic) associated with crossing of vessel
  • Pyelonephritis (chronic) associated with kinking of ureter
  • Pyelonephritis (chronic) associated with obstruction of ureter
  • Pyelonephritis (chronic) associated with stricture of pelviureteric junction
  • Pyelonephritis (chronic) associated with stricture of ureter
Type 1 Excludes
  • calculous pyelonephritis (N20.9)
  • obstructive uropathy (N13.-)
ICD-10-CM N13.0

Hydronephrosis with ureteropelvic junction obstruction

    2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To
  • Hydronephrosis due to acquired occlusion of ureteropelvic junction
Type 2 Excludes
  • Hydronephrosis with ureteropelvic junction obstruction due to calculus (N13.2)
ICD-10-CM N13.1

Hydronephrosis with ureteral stricture, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Type 1 Excludes
  • Hydronephrosis with ureteral stricture with infection (N13.6)
ICD-10-CM N13.2

Hydronephrosis with renal and ureteral calculous obstruction

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Type 1 Excludes
  • Hydronephrosis with renal and ureteral calculous obstruction with infection (N13.6)
ICD-10-CM N13.30

Unspecified hydronephrosis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
ICD-10-CM N13.39

Other hydronephrosis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
ICD-10-CM N13.4

Hydroureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Type 1 Excludes
  • congenital hydroureter (Q62.3-)
  • hydroureter with infection (N13.6)
  • vesicoureteral-reflux with hydroureter (N13.73-)
ICD-10-CM N13.8

Other obstructive and reflux uropathy

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To
  • Urinary tract obstruction due to specified cause
Code First
  • , if applicable, any causal condition, such as:
  • enlarged prostate (N40.1)
ICD-10-CM N20.0

Calculus of kidney

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To
  • Nephrolithiasis NOS
  • Renal calculus
  • Renal stone
  • Staghorn calculus
  • Stone in kidney
ICD-10-CM N20.1

Calculus of ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To
  • Calculus of the ureteropelvic junction
  • Ureteric stone
ICD-10-CM N20.2

Calculus of kidney with calculus of ureter

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
ICD-10-CM N20.9

Urinary calculus, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
ICD-10-CM N21.0

Calculus in bladder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To
  • Calculus in diverticulum of bladder
  • Urinary bladder stone
Type 2 Excludes
  • staghorn calculus (N20.0)
ICD-10-CM N21.1

Calculus in urethra

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Type 2 Excludes
  • calculus of prostate (N42.0)
ICD-10-CM N21.8

Other lower urinary tract calculus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
ICD-10-CM N21.9

Calculus of lower urinary tract, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Type 1 Excludes
  • calculus of urinary tract NOS (N20.9)
ICD-10-CM N22

Calculus of urinary tract in diseases classified elsewhere

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Manifestation Code
Code First
ICD-10-CM N23

Unspecified renal colic

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

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