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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.911

N35.911

Billable

Unspecified urethral stricture, male, meatal

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

Code Description

ICD-10 N35.911 is a billable code used to indicate a diagnosis of unspecified urethral stricture, male, meatal.

Key Diagnostic Point:

N35.911 refers to an unspecified urethral stricture located at the meatus in males. Urethral strictures are narrowings of the urethra that can result from various causes, including trauma, infection, or inflammation. In males, strictures can occur at different locations along the urethra, with meatal strictures being particularly common. These strictures can lead to significant urinary symptoms, including difficulty urinating, urinary retention, and increased risk of urinary tract infections (UTIs). The condition may be associated with urethritis, which is inflammation of the urethra often caused by infections. Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms. Treatment options may include 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 the incidence and outcomes of this condition in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise documentation of the location and type of stricture
  • Differentiation from other urethral disorders such as urethritis
  • Potential for co-existing conditions affecting the urinary tract

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the location of the stricture
  • Misclassification of the condition as urethritis or other urinary disorders
  • Lack of supporting imaging or procedural documentation

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with urinary obstruction, recurrent UTIs, or post-surgical complications.

Billing Considerations

Ensure accurate documentation of the stricture's location and any associated conditions.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom assessment, referral notes to specialists.

Common Clinical Scenarios

Initial evaluation of urinary symptoms leading to referral for further management.

Billing Considerations

Document any prior treatments or interventions related to urinary symptoms.

Coding Guidelines

Inclusion Criteria

Use N35.911 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used only when the specific type or cause of the stricture is not documented
  • Include relevant clinical information to support the diagnosis

Exclusion Criteria

Do NOT use N35.911 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystoscopy, with urethral dilation

Clinical Scenario

Used when performing dilation of a meatal stricture.

Documentation Requirements

Document indication for procedure, findings during cystoscopy, and post-procedure care.

Specialty Considerations

Urology specialists should ensure accurate coding based on findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of data collection and reimbursement processes. N35.911 provides a means to capture cases where the specific type of stricture is not documented.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of data collection and reimbursement processes. N35.911 provides a means to capture cases where the specific type of stricture is not documented.

Reimbursement & Billing Impact

reimbursement processes. N35.911 provides a means to capture cases where the specific type of stricture is not documented.

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 urethral stricture and urethritis?

Urethral stricture refers to a narrowing of the urethra, often causing urinary obstruction, while urethritis is the inflammation of the urethra, typically due to infection. Both conditions can coexist but require different management approaches.