Post-traumatic urethral stricture, female
ICD-10 N35.02 is a billable code used to indicate a diagnosis of post-traumatic urethral stricture, female.
Post-traumatic urethral stricture in females refers to a narrowing of the urethra that occurs as a result of trauma or injury. This condition can arise from various causes, including pelvic fractures, surgical interventions, or external trauma to the pelvic region. The stricture can lead to significant urinary symptoms, such as difficulty urinating, urinary retention, and recurrent urinary tract infections (UTIs). The pathophysiology involves scar tissue formation that obstructs the urethral lumen, which can result in increased bladder pressure and potential kidney damage if left untreated. Diagnosis typically involves 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. Proper coding for this condition is essential for accurate billing and to ensure appropriate management of the patient's urinary health.
Detailed history of trauma, imaging results, and treatment plans.
Patients presenting with urinary retention post-trauma, recurrent UTIs, or complications from previous surgeries.
Urologists must ensure that all relevant details of the stricture are documented to support the diagnosis.
Immediate assessment of trauma, including mechanism of injury and initial management.
Patients with pelvic fractures or blunt trauma presenting with urinary symptoms.
Emergency physicians should document the mechanism of injury and any immediate interventions performed.
Used when evaluating a suspected urethral stricture.
Document indications for the procedure and findings.
Urologists should ensure that the procedure correlates with the diagnosis.
Performed to relieve a urethral stricture.
Document the extent of dilation and any complications.
Urologists must document the specific stricture location and treatment response.
The primary cause is trauma to the pelvic region, which can occur from accidents, surgical procedures, or other injuries that lead to scarring and narrowing of the urethra.
Diagnosis typically involves a thorough patient history, physical examination, and imaging studies such as retrograde urethrograms or cystoscopy to visualize the stricture.
Treatment options may include urethral dilation, urethrotomy, or surgical reconstruction, depending on the severity and location of the stricture.
