N13.5

Crossing vessel and stricture of ureter without hydronephrosis

FY2027Chapter 14: Diseases of the genitourinary system/N10–N16 Renal tubulo-interstitial diseases

BillableComplete code, valid to report

N13.5 (also written N135) is a billable ICD-10-CM diagnosis code for crossing vessel and stricture of ureter without hydronephrosis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 18 codes in category N13 (Obstructive and reflux uropathy). The Alphabetic Index lists it under 24 entries. Its coding notes include 2 Excludes1 entries and 12 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • Crossing vessel and stricture of ureter without hydronephrosis with infection (N13.6)
Also from chapter/block level (1 note)
Inherited from N10–N16 Renal tubulo-interstitial diseases
  • pyeloureteritis cystica (N28.85)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from N13 Obstructive and reflux uropathy
  • calculus of kidney and ureter without hydronephrosis (N20.-)
  • congenital obstructive defects of renal pelvis and ureter (Q62.0-Q62.3)
  • hydronephrosis with ureteropelvic junction obstruction (Q62.11)
  • obstructive pyelonephritis (N11.1)
Also from chapter/block level (8 notes)
Inherited from Chapter 14 Diseases of the genitourinary system
  • 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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Gastrointestinal tract and Genitourinary system clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (1 note)
Inherited from N10–N16 Renal tubulo-interstitial diseases
  • pyelonephritis

Inclusion terms

Conditions classified to this code.

This code
  • Kinking and stricture of ureter without hydronephrosis

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 24 entries

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