Post-traumatic anterior urethral stricture
ICD-10 N35.013 is a billable code used to indicate a diagnosis of post-traumatic anterior urethral stricture.
Post-traumatic anterior urethral stricture refers to a narrowing of the anterior urethra that occurs as a result of trauma. This condition can arise from various forms of injury, including blunt trauma, penetrating injuries, or surgical complications. The anterior urethra is the portion of the urethra that runs from the external urethral orifice to the urogenital diaphragm, and strictures in this area can lead to significant urinary symptoms. Patients may present with dysuria, urinary retention, or a weak urinary stream. Diagnosis typically involves a combination of clinical evaluation, imaging studies, and urethroscopy. Treatment options may include urethral dilation, urethrotomy, or urethroplasty, depending on the severity and length of the stricture. The condition is often associated with other urinary system disorders, such as urethritis or urinary tract infections, which can complicate the clinical picture. Accurate coding is essential for proper management and reimbursement, as well as for tracking outcomes in patients with this condition.
Detailed history of trauma, symptoms, and diagnostic findings.
Patients presenting with urinary retention following pelvic trauma.
Ensure all relevant imaging and procedural notes are included.
Accurate recording of the mechanism of injury and initial assessment findings.
Patients with acute urinary symptoms following trauma.
Timely documentation is critical for accurate coding and treatment planning.
Used to evaluate the stricture during initial assessment.
Document findings from cystoscopy and any interventions performed.
Urology specialists should ensure detailed procedural notes are included.
Performed to relieve symptoms of stricture.
Document the extent of dilation and patient response.
Urologists should note any complications or follow-up plans.
The primary cause is trauma to the urethra, which can occur from accidents, surgical procedures, or penetrating injuries.
Diagnosis typically involves a detailed patient history, physical examination, imaging studies such as retrograde urethrograms, and urethroscopy.
Treatment options may include urethral dilation, urethrotomy, or urethroplasty, depending on the severity and length of the stricture.
