ICD-10 N13.9
Billable / SpecificObstructive and reflux uropathy, unspecified
About ICD-10-CM N13.9
ICD-10-CM code N13.9 represents Obstructive and reflux uropathy, unspecified. This is a billable/specific code in the Genitourinary System chapter (block N13). The 2026 edition of ICD-10-CM N13.9 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N13.9. Per CMS ICD-10-CM Tabular 2026.
- Urinary tract obstruction NOS
Medicare LCD Coverage for N13.9
Local Coverage Determinations (LCDs) from CMS MACs that list N13.9 as a covered diagnosis.
Showing top 10 of 12 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N13.9.
2 Medicare
1 Aetna
CPT Codes Commonly Billed with N13.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 52000 Cystoscopy diagnostic — bladder neck obstruction, cystitis, hematuria, hydronephrosis, bladder cancer, BPH, urinary retention, urethral stricture, poor stream, bladder calculus Urology
- 52601 TURP — BPH with LUTS, BPH, urinary retention, poor stream, hydronephrosis, bladder neck obstruction, hematuria Urology
- 76857 Pelvic ultrasound non-OB — BPH, urinary retention, hematuria, poor stream, hydronephrosis, bladder cancer, pelvic pain, cystitis Urology
Convert N13.9 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N13.9 | 5929 | 10000 |
| N13.9 | 59373 | 10000 |
| N13.9 | 59960 | 10000 |
| N13.9 | 59969 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N13.9
Other codes in section N10-N16 (Renal tubulo-interstitial diseases).
ICD-10 N13.9, Billing FAQ
Is ICD-10 code N13.9 billable? +
Yes, N13.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N13.9? +
ICD-10 N13.9 includes: Urinary tract obstruction NOS.
What CPT codes are commonly billed with N13.9? +
Procedures frequently paired with N13.9 include: 52000, 52601, 76857.
What ICD-9 codes does N13.9 map to? +
Per CMS GEMs, N13.9 maps to ICD-9 codes: 5929, 59373, 59960, 59969. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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