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N20 ICD-10-CM Code: Calculus of kidney and ureter

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Urolithiasis (N20-N23)

N20

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Calculus of kidney and ureter

Calculus of kidney and ureter

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
N2Urolithiasis (N20-N23)
N20Calculus of kidney and ureter

Inclusion Terms

Official
  • Calculous pyelonephritis

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N20 in this effective period.

Related Child Codes

Official
N20.0Calculus of kidney
N20.1Calculus of ureter
N20.2Calculus of kidney with calculus of ureter
N20.9Urinary calculus, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for N20 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N20 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N20 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N20 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

N20 is the ICD-10-CM diagnosis code for calculus of kidney and ureter. N20 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering urolithiasis (n20-n23).

Header codes like N20 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at N20's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N20 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

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

Child Codes

Code Hierarchy

N20Calculus of kidney and ureter
N20Calculus of kidney and ureter

Work N20 in HCC Buddy

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