2026 ICD-10-CM Diagnosis Code N13.8Other obstructive and reflux uropathy

ICD-10-CM CodesN00–N99N10-N16N13

ICD-10-CM N13.8
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N13.8 is a billable ICD-10-CM diagnosis code for other obstructive and reflux uropathy. 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified diseases of kidney and ureters.

Code Identity

ICD-10-CM Code
N13.8
Billable Status
Yes — Valid for Submission
Code Describes
Other obstructive and reflux uropathy
Short Description
Other obstructive and reflux uropathy
Same as the full description in the CMS dataset.
Parent Code
Obstructive and reflux uropathy

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN10-N16Renal tubulo-interstitial diseases
CategoryN13Obstructive and reflux uropathy
This CodeN13.8Other obstructive and reflux uropathy

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acquired obstructive nephropathy due to neurogenic bladder
  • Benign prostatic hyperplasia
  • Benign prostatic hyperplasia with outflow obstruction
  • Clot retention of urine
  • Disorder of urological anastomosis
  • Hyperplasia of prostate
  • Mechanical urinary obstruction
  • Obstruction of urethra
  • Obstructive nephropathy
  • Obstructive nephropathy due to bladder cancer
  • Obstructive nephropathy due to malignancy
  • Obstructive nephropathy due to prostate cancer
  • Obstructive nephropathy due to prostatic hypertrophy
  • Obstructive vesicoureteric reflux
  • Prostatic obstruction
  • Retention of urine
  • Stricture of urological anastomosis
  • Urinary obstruction due to nodular prostate
  • Urinary tract obstruction due to duplicated collecting system

Tabular List NotesGuidance

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

Inclusion Terms

  • Urinary tract obstruction due to specified cause

Code First

  • , if applicable, any causal condition, such as:
  • enlarged prostate N40.1

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.

    • Anuria
      • postrenal
    • Crisis
      • Dietl's
    • Dietl's crisis
    • Extravasation
      • pelvicalyceal
    • Extravasation
      • pyelosinus
    • Nephropathy
      • obstructive
    • Obstruction, obstructed, obstructive
      • renal
        • outflow
    • Obstruction, obstructed, obstructive
      • urinary (moderate)
        • specified NEC
    • Ovary, ovarian
      • vein syndrome
    • Tortuous
      • ureter
    • Uropathy
      • obstructive
        • specified NEC
    • Uropathy
      • reflux
        • specified NEC

Clinical ClassificationClinical

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

CCSR GEN006
Other specified and unspecified diseases of kidney and ureters
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Bladder Diseases

The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are:

Read the full article at MedlinePlus

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

Convert N13.8 to ICD-9-CMHistory

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

ICD-9-CM
593.4 Ureteric obstruction NEC
Approximate The match is approximate rather than exact.

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 N13.8Overview

Is N13.8 (Obstructive and reflux uropathy) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other obstructive and reflux uropathy on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N13.8 group to?

When other obstructive and reflux uropathy 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 N13.8?

Under the General Equivalence Mappings, other obstructive and reflux uropathy converts to ICD-9-CM 593.4 (ureteric obstruction NEC). 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.