Current RMA Instruments
69 of 2019 | |
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.