ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN34.3

N34.3

Billable

Urethral syndrome, unspecified

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

Code Description

ICD-10 N34.3 is a billable code used to indicate a diagnosis of urethral syndrome, unspecified.

Key Diagnostic Point:

Urethral syndrome, unspecified, refers to a collection of symptoms associated with urethral irritation or inflammation that cannot be attributed to a specific identifiable cause. Patients may present with dysuria (painful urination), urinary frequency, urgency, and sometimes suprapubic pain. Unlike urethritis, which is often caused by infections, urethral syndrome may arise from non-infectious factors such as chemical irritants, trauma, or pelvic floor dysfunction. The condition can be challenging to diagnose due to the absence of clear pathological findings, necessitating a thorough clinical evaluation to rule out other urinary tract disorders. It is essential for healthcare providers to consider a comprehensive differential diagnosis, including urethral stricture, interstitial cystitis, and other urinary system disorders, to ensure appropriate management and treatment. The unspecified nature of this code indicates that the clinician has not determined a specific etiology, which can complicate treatment plans and patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specific etiology complicates diagnosis.
  • Symptoms overlap with other urinary disorders.
  • Requires thorough documentation to support diagnosis.
  • Potential for misdiagnosis leading to incorrect coding.

Audit Risk Factors

  • Insufficient documentation of symptoms.
  • Failure to rule out other urinary disorders.
  • Inconsistent coding practices among providers.
  • Lack of follow-up documentation.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, symptom description, and diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with dysuria and urinary frequency without clear infection.

Billing Considerations

Consideration of potential underlying conditions such as pelvic floor disorders.

Primary Care

Documentation Requirements

Comprehensive review of urinary symptoms and any previous urinary tract infections.

Common Clinical Scenarios

Initial evaluation of patients with urinary complaints before referral to specialists.

Billing Considerations

Need for thorough patient education on symptom management.

Coding Guidelines

Inclusion Criteria

Use N34.3 When
  • According to ICD
  • 10 guidelines, N34
  • 3 should be used when the clinician has determined that the patient has urethral syndrome but has not identified a specific cause
  • It is important to document all relevant symptoms and any diagnostic tests performed to support the use of this code

Exclusion Criteria

Do NOT use N34.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

51798CPT Code

Urodynamics

Clinical Scenario

Used to evaluate urinary function in patients with urethral syndrome.

Documentation Requirements

Document indications for urodynamics and findings.

Specialty Considerations

Urology specialists should ensure comprehensive evaluation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of urinary disorders, including urethral syndrome. This specificity aids in better tracking of patient outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urinary disorders, including urethral syndrome. This specificity aids in better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urinary disorders, including urethral syndrome. This specificity aids in better tracking of patient outcomes and treatment efficacy.

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 symptoms are associated with urethral syndrome?

Symptoms typically include dysuria, urinary frequency, urgency, and sometimes suprapubic pain, without identifiable infection.