N28.85

N28.85: Pyeloureteritis cystica

Billable / specific codeICD-10-CM

N28.85 is a billable, specific ICD-10-CM code for pyeloureteritis cystica. It is valid for submission on a claim.

Check N28.85 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above N28.85

A category’s note binds every code beneath it.

Written on N28.8: Other specified disorders of kidney and ureter

hydroureter (N13.4)
ureteric stricture with hydronephrosis (N13.1)
ureteric stricture without hydronephrosis (N13.5)

Risk adjustment

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

Medicare coverage

N28.85 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55336Billing and Coding: Retroperitoneal Ultrasound

Alphabetic index entries that lead here

Pyeloureteritis cystica
Infection, infected, infective›kidney›pelvis and ureter(cystic)
Infection, infected, infective›renal›pelvis and ureter(cystic)

Code history

Unchanged in every release from FY2024 to FY2027.