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ICD-10-CM 2027 diagnosis code

N22Calculus of urinary tract in diseases classified elsewhere

✓ Billable / specificManifestation — not principal

N22 is a valid, billable ICD-10-CM code for calculus of urinary tract in diseases classified elsewhere. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About N22

N22 is the ICD-10-CM diagnosis code for calculus of urinary tract in diseases classified elsewhere. It belongs to block N20-N23 (Urolithiasis) and chapter 14 (diseases of the genitourinary system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Code first underlying disease, such as: gout (M1A.-, M10.-) and schistosomiasis (B65.0-B65.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 693 (Urinary Stones with MCC, relative weight 1.3168) and DRG 694 (Urinary Stones without MCC, relative weight 0.7815), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is a manifestation code, so it describes the effect of an underlying disease and can't be the principal diagnosis. Code the underlying condition first.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 592.9 (urinary calculus, unspecified).

Coding notes

Code firstSequence the underlying condition first

Notes that apply from higher levels

Instructions written at a parent level also apply to N22.

Broader instructions also apply from Chapter 14: Diseases of the genitourinary system.

Codes whose notes reference N22

  • M1AUse additional code
  • M10Use additional code

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract

ICD-9-CM equivalent

Converter →
  • 592.9Urinary calculus, unspecifiedapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about N22

Is N22 billable?

Yes. N22 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can N22 be used as a principal diagnosis?

No. It is a manifestation code, so it describes the effect of an underlying disease and can't be the principal diagnosis. Code the underlying condition first.

Is N22 a CC or MCC?

No. N22 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does N22 group to?

N22 is used in the MS-DRG v44.0 logic for MS-DRG 693 (Urinary Stones with MCC) and MS-DRG 694 (Urinary Stones without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for N22?

The CMS General Equivalence Mappings map N22 to ICD-9-CM 592.9.