MCMCB Pro
N20

N20Calculus of kidney and ureter

Non-billable headerICD-10-CM

N20 is a non-billable header ICD-10-CM code for calculus of kidney and ureter. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • nephrocalcinosis (E83.59)
  • that with hydronephrosis (N13.2)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Calculous pyelonephritis

Other codes that can never be billed with N20

These codes carry an Excludes1 note pointing at N20. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N20 alone.

  • N11.1Chronic obstructive pyelonephritis
  • N12Tubulo-interstitial nephritis, not specified as acute or chronic
  • N21.9Calculus of lower urinary tract, unspecified
  • E79Disorders of purine and pyrimidine metabolism

Risk adjustment

N20 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 N20

4 child codes. Green means billable.

Questions about N20

Is N20 a billable ICD-10-CM code?
No. N20 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N20 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Urolithiasis (N20-N23).
What cannot be coded together with N20?
N20 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
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.