Renal Stone Disease K003

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/q-z/renal-stone-disease-k003-n200-n201n202

Last amended

Rulebase for renal stone disease

<h5><strong>Current RMA Instruments</strong></h5><table width="100%" border="1" cellspacing="1" cellpadding="0"><tbody><tr><td><p><em><u><a href="http://www.rma.gov.au/sops/condition/renal-stone-disease&quot; target="_blank">Reasonable Hypothesis SOP</a></u></em></p></td><td><p>69 of 2019</p></td></tr><tr><td><p><em><u><a href="http://www.rma.gov.au/sops/condition/renal-stone-disease&quot; target="_blank">Balance of Probabilities SOP</a></u></em></p></td><td><p>70 of 2019</p></td></tr></tbody></table><h5><strong>Changes from previous Instruments</strong></h5><p><drupal-media data-entity-type="media" data-entity-uuid="e19b7b7b-bd84-45ef-8506-2002c9fd2648" data-view-mode="wysiwyg"></drupal-media></p><h5><strong>ICD Coding</strong></h5><ul><li>ICD-9-CM Codes: 274.11,592.0,592.1</li><li>ICD-10-AM Codes: N20.0, N20.1, N20.2</li></ul><h5><strong>Brief description</strong></h5><p>This SOP covers stones (calculi) in the kidney or ureter.</p><h5><strong>Confirming the diagnosis</strong></h5><p>Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.</p><p>The relevant medical specialist is a nephrologist or urologist.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>Kidney stone</li><li>Nephrolithiasis</li><li>Renal calculus</li><li>Staghorn calculus</li><li>Ureteric calculus</li><li><!-- -->Ureterolithiasis</li></ul><h5><strong>Conditions excluded from SOP </strong></h5><ul><li>Cholelithiasis (gallstones)*</li><li>Bladder stones (primary)<sup> #</sup></li><li>Nephrocalcinosis<sup> #</sup></li></ul><p>* another SOP applies</p><p><sup>#</sup> non-SOP condition</p><h5><strong>Clinical onset</strong></h5><p>Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.</p><h5><strong>Clinical worsening</strong></h5><p>The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  </p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/rulebase-renal-stone-disease

Caliceal diverticulum

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/caliceal-diverticulum

Cystinuria

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/cystinuria

Having been a prisoner of war of the Japanese

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/having-been-prisoner-war-japanese

Horseshoe kidney

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/horseshoe-kidney

Hypercalcaemia

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/hypercalcaemia

Hypercalciuria

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/hypercalciuria

Hyperoxaluria

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/hyperoxaluria

Hyperuricaemia

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/hyperuricaemia

Hyperuricosuria

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/hyperuricosuria

Ileal resection

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/ileal-resection

Inability to obtain appropriate clinical management for nephrolithiasis

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/inability-obtain-appropriate-clinical-management-nephrolithiasis

Polycystic kidney disease

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/polycystic-kidney-disease

Retrocaval ureter

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/retrocaval-ureter

Treatment with a drug known to cause calculogenesis in the urinary tract

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/treatment-drug-known-cause-calculogenesis-urinary-tract

Type 1 renal tubular acidosis

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/type-1-renal-tubular-acidosis

Ureteral obstruction

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/ureteral-obstruction

Ureteropelvic junction obstruction

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/ureteropelvic-junction-obstruction

Urinary diversion

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/urinary-diversion

Urinary tract infection involving the bacterial enzyme urease

Current RMA Instruments

Reasonable Hypothesis SOP

69 of 2019

Balance of Probabilities SOP

70 of 2019

Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 274.11,592.0,592.1
  • ICD-10-AM Codes: N20.0, N20.1, N20.2
Brief description

This SOP covers stones (calculi) in the kidney or ureter.

Confirming the diagnosis

Diagnosis requires confirmation with either radiological imaging (CT scan, ultrasound) of the kidneys and ureters, or passage of gravel or stone/s in the urine.  The diagnosis can be made by a general practitioner.

The relevant medical specialist is a nephrologist or urologist.

Additional diagnoses covered by SOP
  • Kidney stone
  • Nephrolithiasis
  • Renal calculus
  • Staghorn calculus
  • Ureteric calculus
  • Ureterolithiasis
Conditions excluded from SOP
  • Cholelithiasis (gallstones)*
  • Bladder stones (primary) #
  • Nephrocalcinosis #

* another SOP applies

# non-SOP condition

Clinical onset

Patients may present with the classic symptoms of renal colic and hematuria (blood in the urine). Others may be asymptomatic or have atypical symptoms such as vague abdominal pain, acute abdominal or flank pain, nausea, urinary urgency or frequency, or difficulty urinating.

Clinical worsening

The only SOP worsening factor is for inability to obtain appropriate clinical management.  Treatment may include conservative measures, non-invasive lithotripsy or surgical measures to remove stones and evaluation for underlying causes.  

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/renal-stone-disease-k003-n200-n201n202/rulebase-renal-stone-disease/urinary-tract-infection-involving-bacterial-enzyme-urease