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Compare/N13.2 vs N20

N13.2 vs N20

N13.2 (Hydronephrosis with renal and ureteral calculous obstruction) compared with N20 (Calculus of kidney and ureter), 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?

Yes, when both are documented. N13.2 carries an Excludes2 note covering N20: “calculus of kidney and ureter without hydronephrosis (N20.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

No — do not report together. N20 carries an Excludes1 note covering N13.2: “that with hydronephrosis (N13.2)”

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

N13.2Hydronephrosis with renal and ureteral calculous obstructionN20Calculus of kidney and ureter
Billing statusBillableNon-billable header

Report instead: N20.0, N20.1, N20.2, N20.9

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionHydronephrosis with renal and ureteral calculous obstruction is a billable ICD-10-CM diagnosis code (N13.2).Calculus of kidney and ureter is a non-billable ICD-10-CM category code (N20).
Includes
pyelonephritis
Calculous pyelonephritis

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