N13
N13 — Obstructive 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.
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.
- N13.0Hydronephrosis with ureteropelvic junction obstruction
- 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
- N13.6Pyonephrosis
- N13.7Vesicoureteral-reflux
- N13.8Other obstructive and reflux uropathy
- N13.9Obstructive and reflux uropathy, unspecified
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).