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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.01

N35.01

Billable

Post-traumatic urethral stricture, male

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

Code Description

ICD-10 N35.01 is a billable code used to indicate a diagnosis of post-traumatic urethral stricture, male.

Key Diagnostic Point:

Post-traumatic urethral stricture in males is a condition characterized by the narrowing of the urethra following trauma, which can be due to various causes such as pelvic fractures, surgical interventions, or external injuries. This stricture can lead to significant urinary symptoms, including difficulty urinating, urinary retention, and recurrent urinary tract infections (UTIs). The condition is often diagnosed through a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms or cystoscopy. Treatment options may include urethral dilation, urethrotomy, or surgical reconstruction, depending on the severity and location of the stricture. Accurate coding is essential for proper management and reimbursement, as well as for tracking outcomes and complications associated with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traumatic and non-traumatic causes of urethral stricture.
  • Understanding the specific anatomical location of the stricture.
  • Documenting the history of trauma accurately.
  • Identifying associated complications such as infections or urinary retention.

Audit Risk Factors

  • Inadequate documentation of the traumatic event.
  • Failure to specify the location of the stricture.
  • Misclassification of the stricture type (traumatic vs. congenital).
  • Lack of follow-up documentation regarding treatment outcomes.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of trauma, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with urinary obstruction post-trauma, recurrent UTIs, or complications from previous urethral surgeries.

Billing Considerations

Urologists must ensure that all relevant details of the trauma and its effects on urinary function are documented to support the diagnosis.

Emergency Medicine

Documentation Requirements

Accurate recording of the mechanism of injury, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients with pelvic fractures or blunt trauma presenting with urinary symptoms.

Billing Considerations

Emergency physicians should be aware of the potential for urethral injury in trauma cases and document findings thoroughly.

Coding Guidelines

Inclusion Criteria

Use N35.01 When
  • According to ICD
  • 10 guidelines, N35
  • 01 should be used when the urethral stricture is specifically due to trauma
  • It is important to document the cause of the stricture and any associated conditions

Exclusion Criteria

Do NOT use N35.01 When
  • Exclusion criteria include strictures not related to trauma or those resulting from congenital anomalies

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystoscopy, with urethral dilation

Clinical Scenario

Used for treating urethral strictures identified during cystoscopy.

Documentation Requirements

Document the findings of the cystoscopy and the extent of dilation performed.

Specialty Considerations

Urologists should ensure that the procedure is justified based on the severity of the stricture.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like post-traumatic urethral stricture, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like post-traumatic urethral stricture, improving the accuracy of patient records and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement.

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 primary cause of post-traumatic urethral stricture?

The primary cause is trauma to the urethra, which can occur from accidents, surgical procedures, or other injuries that lead to scarring and narrowing of the urethra.