N13.72

N13.72: Vesicoureteral-reflux with reflux nephropathy without hydroureter

Non-billable headerICD-10-CM

N13.72 is a non-billable header ICD-10-CM code for vesicoureteral-reflux with reflux nephropathy without hydroureter. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above N13.72

A category’s note binds every code beneath it.

Written on N13.7: Vesicoureteral-reflux

reflux-associated pyelonephritis (N11.0)

Excludes2 inherited from the categories above N13.72

Not part of this code, but both may be coded when both are present.

Written on N13: Obstructive and reflux uropathy

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)

Other codes that can never be billed with N13.72

Their own Excludes1 notes name this code, so the conflict is not listed above.

N11.1Chronic obstructive pyelonephritis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead N13.72

3 child codes. Green means billable.