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v1.0.0
ICD-10 Guide
ICD-10 CodesN34.0

N34.0

Billable

Urethral abscess

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

Code Description

ICD-10 N34.0 is a billable code used to indicate a diagnosis of urethral abscess.

Key Diagnostic Point:

A urethral abscess is a localized collection of pus that forms within the urethra, often resulting from infection or obstruction. This condition can arise due to various factors, including urethritis, which is the inflammation of the urethra typically caused by bacterial infections, sexually transmitted infections, or irritants. Urethral abscesses may also develop secondary to urethral strictures, where narrowing of the urethra leads to urinary retention and subsequent infection. Symptoms often include painful urination, difficulty urinating, and the presence of a palpable mass or swelling in the genital area. Diagnosis is typically made through clinical examination and imaging studies, such as ultrasound or MRI, to assess the extent of the abscess. Treatment usually involves incision and drainage of the abscess, along with antibiotic therapy to address the underlying infection. If left untreated, urethral abscesses can lead to serious complications, including systemic infection or urinary tract obstruction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between urethral abscess and other urinary tract infections.
  • Identifying the underlying cause, such as urethritis or stricture.
  • Need for detailed documentation of symptoms and treatment.
  • Potential for co-existing conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the abscess's size and location.
  • Failure to document the underlying cause of the abscess.
  • Misclassification of the abscess as a different urinary condition.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with painful urination, swelling in the genital area, or recurrent urinary tract infections.

Billing Considerations

Urologists should ensure that all relevant diagnostic tests and treatments are documented to support the coding of N34.0.

Infectious Disease

Documentation Requirements

Thorough documentation of the patient's infection history, laboratory results, and response to antibiotic therapy.

Common Clinical Scenarios

Patients with recurrent infections leading to abscess formation or those with immunocompromised states.

Billing Considerations

Infectious disease specialists should document the causative organisms and antibiotic susceptibility to support coding.

Coding Guidelines

Inclusion Criteria

Use N34.0 When
  • According to ICD
  • 10 guidelines, N34
  • 0 should be used when a urethral abscess is confirmed through clinical evaluation
  • It is essential to document the cause of the abscess and any associated conditions
  • infectious causes

Exclusion Criteria

Do NOT use N34.0 When
  • Exclusions include abscesses due to non

Related ICD-10 Codes

Related CPT Codes

10060CPT Code

Incision and drainage of abscess

Clinical Scenario

Used when performing drainage of a urethral abscess.

Documentation Requirements

Document the size, location, and nature of the abscess, as well as the procedure performed.

Specialty Considerations

Urologists should ensure that the procedure is well-documented to support the coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of urethral abscesses, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis and treatment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral abscesses, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis and treatment.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis and treatment.

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 are the common causes of urethral abscess?

Common causes include bacterial infections, sexually transmitted infections, trauma to the urethra, and urinary obstruction due to strictures.

How is a urethral abscess diagnosed?

Diagnosis is typically made through clinical examination, imaging studies such as ultrasound, and laboratory tests to identify the causative organism.

What is the treatment for a urethral abscess?

Treatment usually involves incision and drainage of the abscess, along with antibiotic therapy to address the underlying infection.