MCMCB Pro
N13

N13Obstructive and reflux uropathy

Non-billable headerICD-10-CM

N13 is a non-billable header ICD-10-CM code for obstructive and reflux uropathy. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • calculus of kidney and ureter without hydronephrosis (N20.-)
  • congenital obstructive defects of renal pelvis and ureter (Q62.0-Q62.3)
  • hydronephrosis with ureteropelvic junction obstruction (Q62.11)
  • obstructive pyelonephritis (N11.1)

Other codes that can never be billed with N13

These codes carry an Excludes1 note pointing at N13. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N13 alone.

  • M72.8Other fibroblastic disorders
  • N11.0Nonobstructive reflux-associated chronic pyelonephritis
  • N11.1Chronic obstructive pyelonephritis
  • N13.1Hydronephrosis with ureteral stricture, not elsewhere classified
  • N13.2Hydronephrosis with renal and ureteral calculous obstruction
  • N13.3Other and unspecified hydronephrosis
  • N13.4Hydroureter
  • N13.5Crossing vessel and stricture of ureter without hydronephrosis

Risk adjustment

N13 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead N13

10 child codes. Green means billable.

Questions about N13

Is N13 a billable ICD-10-CM code?
No. N13 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N13 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Renal tubulo-interstitial diseases (N10-N16).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.