2027 ICD-10-CM Diagnosis Code N22Calculus of urinary tract in diseases classified elsewhere

ICD-10-CM Codes›N00–N99›N20-N23›N22

ICD-10-CM N22
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N22 is a billable ICD-10-CM diagnosis code for calculus of urinary tract in diseases classified elsewhere. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 693 through 694. The code is a manifestation code that cannot be reported as the principal diagnosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Calculus of urinary tract.

Code Identity

ICD-10-CM Code
N22
Billable Status
Yes — Valid for Submission
Code Describes
Calculus of urinary tract in diseases classified elsewhere
Short Description
Calculus of urinary tract in diseases classified elsewhere
Same as the full description in the CMS dataset.
Chapter
N20-N23
Urolithiasis

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN20-N23Urolithiasis
CategoryN22Calculus of urinary tract in diseases classified elsewhere
This CodeN22Calculus of urinary tract in diseases classified elsewhere

Code EditsBilling

Medicare Code Editor checks that affect claim validity for N22.

Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N22: its own notes plus those printed at Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • 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)

Code First

The underlying condition named in the note is sequenced before this code.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N22, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming N22: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block N25-N29 Other disorders of kidney and ureter
    disorders of kidney and ureter with urolithiasis (N20-N23) names N20-N23, which includes this code

Use Additional Code 2

These codes say to use an additional code from the note, and N22 is one of the codes named.

  • M10 Gout
    Calculus of urinary tract in diseases classified elsewhere (N22)
  • M1A Chronic gout
    Calculus of urinary tract in diseases classified elsewhere (N22)

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

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 N22 to ICD-9-CMHistory

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

ICD-9-CM
592.9 Urinary calculus NOS
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N22Overview

What is the ICD-10 code for calculus of urinary tract in diseases classified elsewhere?

The ICD-10-CM code for calculus of urinary tract in diseases classified elsewhere is N22. It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N22 (Calculus of urinary tract in diseases classified elsewhere) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report calculus of urinary tract in diseases classified elsewhere on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N22 group to?

On inpatient claims, calculus of urinary tract in diseases classified elsewhere maps to MS-DRG 694, 693, with relative weights from 0.7815 to 1.3155 depending on complications. Higher weights mean higher Medicare reimbursement.

Can N22 be a principal diagnosis?

No. This is a manifestation code: calculus of urinary tract in diseases classified elsewhere describes the manifestation of an underlying disease rather than the disease itself, so the underlying condition is sequenced first.

What is coded first with N22?

The Code First note reads: underlying disease, such as: gout (M1A.-, M10.-); schistosomiasis (B65.0-B65.9). When one of these applies, it is sequenced before N22.