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Compare/E79 vs N20.0

E79 vs N20.0

E79 (Disorders of purine and pyrimidine metabolism) compared with N20.0 (Calculus of kidney), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. E79 carries an Excludes1 note covering N20.0: “calculus of kidney (N20.0)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E79Disorders of purine and pyrimidine metabolismN20.0Calculus of kidney
Billing statusNon-billable header

Report instead: E79.0, E79.1, E79.2, E79.81, E79.82

Billable
ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionDisorders of purine and pyrimidine metabolism is a non-billable ICD-10-CM category code (E79).Calculus of kidney is a billable ICD-10-CM diagnosis code (N20.0).
Includes
Nephrolithiasis NOS
Renal calculus
Renal stone
Staghorn calculus

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources