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5th 246 ICD_10-4th_ed.indb 246 6th 7th Additional Character Required 3-character code (N00 N99) N13 OBSTRUCTIVE AND REFLUX UROPATHY 4th Excludes2: 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) N13.0 Hydronephrosis with ureteropelvic junction obstruction Hydronephrosis due to acquired occlusion ureteropelvic junction Excludes2: hydronephrosis with ureteropelvic junction obstruction due to calculus (N13.2) N13.1 Hydronephrosis with ureteral stricture, NEC Excludes1: hydronephrosis with ureteral stricture with infection (N13.6) N13.2 Hydronephrosis with renal and ureteral calculous obstruction Excludes1: hydronephrosis with renal and ureteral calculous obstruction with infection (N13.6) N13.3 Other and unspecified hydronephrosis Excludes1: hydronephrosis with infection (N13.6) 5th N13.30 Unspecified hydronephrosis N13.39 Other hydronephrosis N13.7 Vesicoureteral-reflux Excludes1: reflux-associated pyelonephritis (N11.0) 5th N13.70 Vesicoureteral-reflux, unspecified Vesicoureteral-reflux NOS N13.71 Vesicoureteral-reflux without reflux nephropathy N13.8 Other obstructive and reflux uropathy Urinary tract obstruction due to specified cause Code first, if applicable, any causal condition, such as: enlarged prostate (N40.1) N13.9 Obstructive and reflux uropathy, unspecified Urinary tract obstruction NOS (N17 N19) ACUTE KIDNEY FAILURE AND CKD Excludes2: congenital renal failure (P96.0) drug- and heavy-metalinduced tubulo-interstitial and tubular conditions (N14.-) extrarenal uremia (R39.2) hemolytic-uremic syndrome (D59.3) hepatorenal syndrome (K76.7) postpartum hepatorenal syndrome (O90.4) posttraumatic renal failure (T79.5) prerenal uremia (R39.2) renal failure complicating abortion or ectopic or molar pregnancy (O00 O07, O08.4) renal failure following labor and delivery (O90.4) renal failure postprocedural (N99.0) N16 RENAL TUBULO-INTERSTITIAL DISORDERS IN DISEASES CLASSIFIED ELSEWHERE Pyelonephritis Tubulo-interstitial nephritis Code first underlying disease, such as: brucellosis (A23) cryoglobulinemia (D89.1) glycogen storage disease (E74.0) leukemia (C91-C95) lymphoma (C81.0-C85.9, C96.0-C96.9) multiple myeloma (C90.0-) sepsis (A40.0-A41.9) Wilsons disease (E83.0) Excludes1: diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84) pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49) in cystinosis (E72.04) in Salmonella infection (A02.25) in sarcoidosis (D86.84) in sicca syndrome [Sjogrens] (M35.04) in systemic lupus erythematosus (M32.15) in toxoplasmosis (B58.83) renal tubular degeneration in diabetes (E08-E13 with .29) syphilitic pyelonephritis and tubulo-interstitial nephritis (A52.75) =New Code =Revised Code Excludes1Not coded here, do not use together Excludes2Not included here PEDIATRIC ICD-10-CM 2019: A MANUAL FOR PROVIDER-BASED CODING 8/16/18 5:33 PM TABULAR LIST CHAPTER 14

*Correspondence: Huilin Hu [email protected] This article was submitted to Atherosclerosis and Vascular Medicine, a section of the journal Frontiers in Cardiovascular Medicine Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers