Groundbreaking: First-Ever HCC RAF Score Accessible Through REST API

First-Ever HCC RAF Score Accessible Through REST API

Image depicting the concept of elevating provider support and enhancing concurrent coding for risk adjustment in healthcare.

Elevate Provider Support:
Enhance Your Concurrent Coding
for Risk Adjustment

ICD-10-CM Codes N00-N99 N10-N16 N13 N13.1

ICD-10-CM Diagnosis Code N13.1

Effective Date: 10/01/2015 To 09/30/2025

Hydronephrosis with ureteral stricture, not elsewhere classified

CMS-HCC-V24	CMS-HCC-V28	RxHCC	Age	Gender	Maternity	Acute or Chronic	MCC
--	--	--	--	--	--	Acute	No

Excludes-1 for N13.1:

Hydronephrosis with ureteral stricture with infection (N13.6)

Back-references to N13.1

Hydronephrosis(atrophic) (early) (functionless) (intermittent) (primary) (secondary) NEC N13.30

with
- obstruction(by) (of)
  - ureteral NEC N13.1
- ureteral stricture NEC N13.1

Kink, kinking

ureter(pelvic junction) N13.5
- with
  - hydronephrosis N13.1

Obstruction, obstructed, obstructive

ureter(functional) (pelvic junction) NEC N13.5
- with
  - hydronephrosis N13.1

Stricture see also Stenosis

ureter(postoperative) N13.5
- with
  - hydronephrosis N13.1

Chapter, Section and Diagnosis Prefix for N13.1

Diseases of the genitourinary system

Renal tubulo-interstitial diseases

Obstructive and reflux uropathy