N16BillableSave

N16 - Renal tubulo-interstitial disorders in diseases classified elsewhere

ICD-10-CM Chapter 14: Diseases of the genitourinary system · N10-N16 Renal tubulo-interstitial diseases (N10-N16) · Top-level category · FY2027

Applicable To

Inclusion terms listed under N16 in the ICD-10-CM tabular list.

  • Pyelonephritis
  • Tubulo-interstitial nephritis

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom N16

Mutually exclusive: these conditions are never reported together with this code.

  • diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84)
  • pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49)
  • pyelonephritis and tubulo-interstitial nephritis in cystinosis (E72.04)
  • pyelonephritis and tubulo-interstitial nephritis in salmonella infection (A02.25)
  • pyelonephritis and tubulo-interstitial nephritis in sarcoidosis (D86.84)
  • pyelonephritis and tubulo-interstitial nephritis in Sjogren syndrome (M35.04)
  • pyelonephritis and tubulo-interstitial nephritis in systemic lupus erythematosus (M32.15)
  • pyelonephritis and tubulo-interstitial nephritis in toxoplasmosis (B58.83)
  • renal tubular degeneration in diabetes (E08-E13 with .29)
  • syphilitic pyelonephritis and tubulo-interstitial nephritis (A52.75)
Code FirstFrom N16

Sequence the underlying condition before this code.

  • underlying disease, such as:
  • brucellosis (A23.0-A23.9)
  • cryoglobulinemia (D89.1)
  • glycogen storage disease (E74.0-)
  • leukemia (C91-C95)
  • lymphoma (C81.0-C85.9, C96.0-C96.9)
  • multiple myeloma (C90.0-)
  • sepsis (A40.0-A41.9)
  • Wilson's disease (E83.01)
IncludesFrom N10-N16 Renal tubulo-interstitial diseases (N10-N16)

Conditions this code covers.

  • pyelonephritis
Excludes 1 — Not Coded HereFrom N10-N16 Renal tubulo-interstitial diseases (N10-N16)

Mutually exclusive: these conditions are never reported together with this code.

  • pyeloureteritis cystica (N28.85)
Excludes 2 — Not Included HereFrom Chapter N00-N99

Not part of this code; report both codes when the patient has both conditions.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Inpatient DRG Payments

DRG 69878,368 discharges

Other Kidney And Urinary Tract Diagnoses With Mcc

Avg. Medicare Payment

$13,092

Total Payment$15,441
Patient Responsibility$2,349
Hospital Charge$73,427
DRG 69937,891 discharges

Other Kidney And Urinary Tract Diagnoses With Cc

Avg. Medicare Payment

$8,196

Total Payment$10,420
Patient Responsibility$2,224
Hospital Charge$47,479
DRG 7002,024 discharges

Other Kidney And Urinary Tract Diagnoses Without Cc/mcc

Avg. Medicare Payment

$5,298

Total Payment$7,107
Patient Responsibility$1,809
Hospital Charge$33,346