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v1.0.0
ICD-10 Guide
ICD-10 CodesN32.0

N32.0

Billable

Bladder-neck obstruction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N32.0 is a billable code used to indicate a diagnosis of bladder-neck obstruction.

Key Diagnostic Point:

Bladder-neck obstruction refers to a condition where the bladder neck, the area where the bladder connects to the urethra, becomes narrowed or blocked, leading to difficulties in urination. This obstruction can result from various causes, including benign prostatic hyperplasia (BPH), scarring from previous surgeries, or neurological conditions affecting bladder function. Patients may present with symptoms such as urinary hesitancy, weak urine stream, incomplete bladder emptying, and urinary retention. In severe cases, bladder-neck obstruction can lead to urinary tract infections (UTIs) and bladder dysfunction. The condition is often associated with other bladder disorders, such as cystitis and neurogenic bladder, where nerve damage affects bladder control. Diagnosis typically involves a combination of patient history, physical examination, and diagnostic tests such as urodynamics or imaging studies. Treatment options may include medication, catheterization, or surgical interventions to relieve the obstruction and restore normal urinary function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., BPH, scarring, neurological conditions)
  • Potential for co-existing conditions (e.g., cystitis, neurogenic bladder)
  • Need for detailed documentation of symptoms and diagnostic tests
  • Variability in treatment approaches based on etiology

Audit Risk Factors

  • Inadequate documentation of symptoms leading to the diagnosis
  • Failure to document co-existing conditions
  • Misclassification of the type of obstruction
  • Lack of clarity on treatment plans and outcomes

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, results of urodynamic studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with urinary retention, recurrent UTIs, or post-operative complications related to bladder surgery.

Billing Considerations

Ensure clear documentation of the obstruction's cause and any associated bladder dysfunction.

Neurology

Documentation Requirements

Comprehensive neurological assessment, including history of neurological disorders affecting bladder control.

Common Clinical Scenarios

Patients with neurogenic bladder due to spinal cord injuries or multiple sclerosis presenting with bladder-neck obstruction.

Billing Considerations

Document the neurological assessment thoroughly to support the diagnosis of neurogenic bladder.

Coding Guidelines

Inclusion Criteria

Use N32.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's etiology and associated symptoms
  • Include any relevant diagnostic tests and treatment plans in the medical record

Exclusion Criteria

Do NOT use N32.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52601CPT Code

Transurethral resection of the prostate (TURP)

Clinical Scenario

Used in cases of bladder-neck obstruction due to BPH.

Documentation Requirements

Document the indication for surgery, pre-operative assessments, and post-operative outcomes.

Specialty Considerations

Urology specialists should ensure comprehensive documentation of the patient's history and surgical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bladder-neck obstruction, improving the ability to capture the complexity of the condition and its underlying causes. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bladder-neck obstruction, improving the ability to capture the complexity of the condition and its underlying causes. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bladder-neck obstruction, improving the ability to capture the complexity of the condition and its underlying causes. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of bladder-neck obstruction?

Common causes include benign prostatic hyperplasia (BPH), scarring from previous surgeries, and neurological conditions affecting bladder function.

How is bladder-neck obstruction diagnosed?

Diagnosis typically involves a detailed patient history, physical examination, and diagnostic tests such as urodynamics or imaging studies.

What are the treatment options for bladder-neck obstruction?

Treatment options may include medications, catheterization, or surgical interventions such as transurethral resection of the prostate (TURP) or bladder neck incision.