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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.919

N35.919

Billable

Unspecified urethral stricture, male, unspecified site

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

Code Description

ICD-10 N35.919 is a billable code used to indicate a diagnosis of unspecified urethral stricture, male, unspecified site.

Key Diagnostic Point:

Unspecified urethral stricture in males refers to a narrowing of the urethra that is not attributed to a specific site or cause. Urethral strictures can arise from various factors, including trauma, infection, or inflammation. In males, these strictures can lead to significant urinary symptoms such as difficulty urinating, urinary retention, and recurrent urinary tract infections (UTIs). The condition may be associated with urethritis, which is inflammation of the urethra often caused by infections. The diagnosis of urethral stricture typically involves a combination of patient history, physical examination, and diagnostic imaging or endoscopic evaluation. 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 urethral strictures can significantly impact a patient's quality of life and may require ongoing medical attention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of the stricture's location and cause
  • Potential for overlapping diagnoses (e.g., urethritis, urinary obstruction)
  • Variations in treatment approaches and their documentation

Audit Risk Factors

  • Insufficient documentation of symptoms and clinical findings
  • Failure to specify the location of the stricture
  • Inadequate justification for the diagnosis based on clinical evidence
  • Misalignment between diagnosis and treatment provided

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 retention, recurrent UTIs, or post-surgical complications.

Billing Considerations

Ensure clear documentation of the stricture's characteristics and any associated conditions.

Primary Care

Documentation Requirements

Comprehensive patient history, symptom assessment, and referrals to specialists as needed.

Common Clinical Scenarios

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

Billing Considerations

Document any relevant past medical history, including previous urinary tract infections or surgeries.

Coding Guidelines

Inclusion Criteria

Use N35.919 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • 919 should be used when the specific site of the stricture is not documented
  • Ensure that the code aligns with the patient's clinical picture and treatment plan

Exclusion Criteria

Do NOT use N35.919 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52332CPT Code

Cystourethroscopy with dilation of urethral stricture

Clinical Scenario

Used when a patient with N35.919 undergoes a procedure to relieve the stricture.

Documentation Requirements

Document the indication for the procedure, findings during cystourethroscopy, and any interventions performed.

Specialty Considerations

Urologists should ensure that the procedure is justified based on the patient's symptoms and diagnostic 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 ability to capture the nuances of these conditions. N35.919 provides a broad category for unspecified cases, which can help in tracking prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the ability to capture the nuances of these conditions. N35.919 provides a broad category for unspecified cases, which can help in tracking prevalence and 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 significance of coding N35.919?

Coding N35.919 is crucial for accurately representing cases of urethral stricture that do not have a specified site. It helps in understanding the prevalence and treatment needs of patients with this condition.