2026 ICD-10-CM Diagnosis Code N13.2Hydronephrosis with renal and ureteral calculous obstruction

ICD-10-CM Codes›N00–N99›N10-N16›N13

ICD-10-CM N13.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N13.2 is a billable ICD-10-CM diagnosis code for hydronephrosis with renal and ureteral calculous obstruction. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 693 through 694. Coders also document this condition as calculus of kidney and ureter. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Calculus of urinary tract and Other specified and unspecified diseases of kidney and ureters.

Code Identity

ICD-10-CM Code
N13.2
Billable Status
Yes — Valid for Submission
Code Describes
Hydronephrosis with renal and ureteral calculous obstruction
Short Description
Hydronephrosis with renal and ureteral calculous obstruction
Same as the full description in the CMS dataset.
Parent Code
N13
Obstructive and reflux uropathy

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN10-N16Renal tubulo-interstitial diseases
CategoryN13Obstructive and reflux uropathy
This CodeN13.2Hydronephrosis with renal and ureteral calculous obstruction

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Calculus of kidney and ureter
  • Complete obstruction of the urinary tract
  • Hydronephrosis due to calculus of kidney and ureter
  • Occlusion of ureter
  • Occlusion of ureter due to calculus
  • Ureteric stone

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • Hydronephrosis with renal and ureteral calculous obstruction with infection N13.6

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Calculus, calculi, calculous
      • kidney (impacted) (multiple) (pelvis) (recurrent) (staghorn)
        • with calculus, ureter
          • with hydronephrosis
    • Calculus, calculi, calculous
      • kidney (impacted) (multiple) (pelvis) (recurrent) (staghorn)
        • congenital
          • with hydronephrosis
    • Calculus, calculi, calculous
      • ureter (impacted) (recurrent)
        • with calculus, kidney
          • with hydronephrosis
    • Calculus, calculi, calculous
      • ureter (impacted) (recurrent)
        • with hydronephrosis
    • Calculus, calculi, calculous
      • urinary (duct) (impacted) (passage) (tract)
        • with hydronephrosis
    • Hydronephrosis(atrophic) (early) (functionless) (intermittent) (primary) (secondary) NEC
      • with
        • obstruction (by) (of)
          • renal calculus
    • Hydronephrosis(atrophic) (early) (functionless) (intermittent) (primary) (secondary) NEC
      • with
        • obstruction (by) (of)
          • ureteral NEC
            • calculus
    • Ureteritis
      • due to calculus
        • with calculus, kidney
          • with hydronephrosis

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN005
Calculus of urinary tract
Default principal diagnosis: inpatient No · outpatient No
CCSR GEN006
Other specified and unspecified diseases of kidney and ureters
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Kidney Diseases

You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N13.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
591 Hydronephrosis
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
592.0 Calculus of kidney
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
592.1 Calculus of ureter
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N13.2Overview

Is N13.2 (Obstructive and reflux uropathy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hydronephrosis with renal and ureteral calculous obstruction on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N13.2 group to?

When hydronephrosis with renal and ureteral calculous obstruction is the principal diagnosis on an inpatient stay, it groups to MS-DRG 693, 694, with relative weights from 0.7817 to 1.3445 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N13.2?

Under the General Equivalence Mappings, hydronephrosis with renal and ureteral calculous obstruction converts to ICD-9-CM 591 (hydronephrosis), 592.0 (calculus of kidney), and 592.1 (calculus of ureter). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.