N20.0 Calculus of kidney

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Calculus of kidney is N20.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
N20-N23: Urolithiasis (N20-N23)
Category N20
5 codes (4 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to N20.0:

  • Calculus, calculi, calculous › kidney (impacted) (multiple) (pelvis) (recurrent) (staghorn)
  • Stone (s) › renal
  • Stone (s) › kidney
  • Calculus, calculi, calculous › pyelitis (impacted) (recurrent)
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › kidney › with calculus
  • Calculus, calculi, calculous › diverticulum › kidney
  • Infection, infected, infective (opportunistic) › kidney (cortex) (hematogenous) › with calculus

Inclusion Terms

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

U.S. Hospital Utilization

  • An estimated 229,425 U.S. inpatient stays in 2023 included N20.0 among the documented diagnoses.
  • 10,720 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

CKD staging and code assignment (N18.-)

The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages 1-5. Stage 2, code N18.2, equates to mild CKD; stage 3, codes N18.30-N18.32, equate to moderate CKD; and stage 4, code N18.4, equates to severe CKD. Code N18.6, End stage renal disease (ESRD), is assigned when the provider has documented end- stage renal disease (ESRD).

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.14.a.1
CKD stage plus ESRD: assign N18.6 only

If both a stage of CKD and ESRD are documented, assign code N18.6 only.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.14.a.1

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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