ICD-10 · PDGM grouping

N20-N23 — Urolithiasis

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

10

No clinical group

3

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

7 of the 10 codes in N20-N23 group to MMTA - Gastrointestinal tract and Genitourinary system. A further 3 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in N20-N23

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
N200Calculus of kidneyJAccepted
N201Calculus of ureterJAccepted
N202Calculus of kidney with calculus of ureterJAccepted
N209Urinary calculus, unspecifiedNoneCannot group
N210Calculus in bladderJAccepted
N211Calculus in urethraJAccepted
N218Other lower urinary tract calculusJAccepted
N219Calculus of lower urinary tract, unspecifiedNoneCannot group
N22Calculus of urinary tract in diseases classified elsewhereNoneCannot group
N23Unspecified renal colicJAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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