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v1.0.0
ICD-10 Guide
ICD-10 CodesN34.1

N34.1

Billable

Nonspecific urethritis

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

Code Description

ICD-10 N34.1 is a billable code used to indicate a diagnosis of nonspecific urethritis.

Key Diagnostic Point:

Nonspecific urethritis (NSU) is an inflammation of the urethra that is not caused by a specific identifiable pathogen. It is often characterized by symptoms such as dysuria (painful urination), urethral discharge, and increased urinary frequency. NSU is commonly associated with sexually transmitted infections (STIs), particularly chlamydia and gonorrhea, but can also occur due to non-infectious causes such as chemical irritants or trauma. Diagnosis typically involves a thorough patient history, physical examination, and laboratory tests to rule out specific infections. Treatment usually includes antibiotics if a bacterial cause is suspected, along with symptomatic relief measures. Accurate coding for NSU is essential for proper treatment and management, as it can impact patient care and healthcare costs. Understanding the nuances of this condition is crucial for coders, as it often overlaps with other urinary system disorders and requires careful documentation to ensure appropriate coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between specific and nonspecific causes of urethritis.
  • Need for comprehensive patient history to identify potential STIs.
  • Variability in symptoms and presentation among patients.
  • Potential overlap with other urinary disorders, complicating coding.

Audit Risk Factors

  • Inadequate documentation of patient history and symptoms.
  • Failure to document the absence of specific pathogens.
  • Misclassification of urethritis type leading to incorrect coding.
  • Lack of follow-up documentation on treatment efficacy.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including sexual history, symptoms, and any previous urinary tract infections.

Common Clinical Scenarios

Patients presenting with dysuria and urethral discharge without a clear infectious cause.

Billing Considerations

Urologists should ensure that all relevant tests are documented to support the diagnosis of nonspecific urethritis.

Primary Care

Documentation Requirements

Comprehensive assessment of urinary symptoms and potential risk factors for STIs.

Common Clinical Scenarios

Patients with urinary symptoms who may not initially disclose sexual history.

Billing Considerations

Primary care providers should be vigilant in documenting all findings to avoid misdiagnosis.

Coding Guidelines

Inclusion Criteria

Use N34.1 When
  • According to ICD
  • 10 guidelines, N34
  • 1 should be used when the urethritis is not attributable to a specific infectious agent
  • Coders must ensure that documentation supports the diagnosis and that other potential causes are ruled out

Exclusion Criteria

Do NOT use N34.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

87491CPT Code

Chlamydia trachomatis and Neisseria gonorrhoeae nucleic acid detection

Clinical Scenario

When testing for STIs in patients presenting with urethritis symptoms.

Documentation Requirements

Document the reason for testing and the patient's symptoms.

Specialty Considerations

Urologists should ensure that all relevant tests are ordered and results documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of urethritis, improving the accuracy of diagnoses and treatment plans. N34.1 provides a clear distinction for nonspecific cases, which 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 urethritis, improving the accuracy of diagnoses and treatment plans. N34.1 provides a clear distinction for nonspecific cases, which aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urethritis, improving the accuracy of diagnoses and treatment plans. N34.1 provides a clear distinction for nonspecific cases, which 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 is the difference between N34.1 and other urethritis codes?

N34.1 is specifically for nonspecific urethritis, meaning there is no identifiable infectious cause. Other codes, such as N34.0, are used when a specific pathogen is identified.