ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N20.0

Billable / Specific

Calculus of kidney

N20
Block
5
Synonyms
19
LCDs
8
Payer Policies
2
Linked CPTs

About ICD-10-CM N20.0

ICD-10-CM code N20.0 represents Calculus of kidney. This is a billable/specific code in the Genitourinary System chapter (block N20). The 2026 edition of ICD-10-CM N20.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N20.0. Per CMS ICD-10-CM Tabular 2026.

  • Nephrolithiasis NOS
  • Renal calculus
  • Renal stone
  • Staghorn calculus
  • Stone in kidney

Medicare LCD Coverage for N20.0

Local Coverage Determinations (LCDs) from CMS MACs that list N20.0 as a covered diagnosis.

19 LCDs

Showing top 10 of 19 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N20.0.

8 policies

1 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530

5 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-57718
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-57736
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-59170

1 Aetna

Urological Supplies
Policy ID: CPB-0533

CPT Codes Commonly Billed with N20.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 81001 Urinalysis with microscopy — UTI, cystitis, dysuria, urinary frequency, abnormal urine, pyelonephritis, chronic pyelonephritis, fever, kidney stone Laboratory
  • 50590 Lithotripsy — kidney stone, ureter stone, kidney/ureter stone, obstructive uropathy, abdominal pain, abnormal urine Urology

Convert N20.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N20.0 5920 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N20.0, Billing FAQ

Is ICD-10 code N20.0 billable? +

Yes, N20.0 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 N20.0? +

ICD-10 N20.0 includes: Nephrolithiasis NOS; Renal calculus; Renal stone, and 2 more clinical synonyms.

What CPT codes are commonly billed with N20.0? +

Procedures frequently paired with N20.0 include: 81001, 50590.

What ICD-9 codes does N20.0 map to? +

Per CMS GEMs, N20.0 maps to ICD-9 codes: 5920. 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 May 31, 2026.

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