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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.028

N35.028

Billable

Other post-traumatic urethral stricture, female

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

Code Description

ICD-10 N35.028 is a billable code used to indicate a diagnosis of other post-traumatic urethral stricture, female.

Key Diagnostic Point:

N35.028 refers to a specific type of urethral stricture that occurs in females as a result of trauma. Urethral strictures are narrowings of the urethra that can lead to obstructive urinary symptoms. In females, these strictures can arise from various traumatic events, including pelvic fractures, surgical interventions, or external injuries. The condition can manifest with symptoms such as dysuria (painful urination), urinary frequency, urgency, and in severe cases, urinary retention. 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. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the incidence of this condition in the female population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of urethral strictures
  • Understanding the specific causes of post-traumatic strictures
  • Documenting the severity and symptoms accurately
  • Navigating related codes for urinary disorders

Audit Risk Factors

  • Inadequate documentation of trauma history
  • Failure to specify the type of stricture
  • Misclassification of the stricture as congenital or idiopathic
  • Lack of supporting imaging studies in the medical record

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of urinary symptoms, trauma events, and imaging results.

Common Clinical Scenarios

Patients presenting with urinary obstruction following pelvic trauma or surgery.

Billing Considerations

Urologists must document the exact location and length of the stricture for accurate coding.

Emergency Medicine

Documentation Requirements

Immediate assessment of trauma and urinary symptoms, including imaging results.

Common Clinical Scenarios

Patients with acute urinary retention following trauma.

Billing Considerations

Emergency physicians should ensure that trauma details are clearly documented to support coding.

Coding Guidelines

Inclusion Criteria

Use N35.028 When
  • According to ICD
  • 10 guidelines, N35
  • 028 should be used when the stricture is specifically due to trauma and not due to other causes
  • Coders must ensure that the documentation supports the diagnosis and that the stricture is not classified under other urinary disorders

Exclusion Criteria

Do NOT use N35.028 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystourethroscopy, diagnostic

Clinical Scenario

Used to evaluate the urethra in cases of suspected stricture.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists should ensure that findings are clearly documented to support coding.

53660CPT Code

Urethral dilation

Clinical Scenario

Performed to treat the stricture.

Documentation Requirements

Document the procedure details and any complications.

Specialty Considerations

Urologists must document the length and location of the stricture.

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 track and manage these conditions. N35.028 provides a clear distinction for post-traumatic cases, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the ability to track and manage these conditions. N35.028 provides a clear distinction for post-traumatic cases, which aids in clinical management and research.

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 difference between N35.028 and N35.1?

N35.028 is specifically for post-traumatic urethral strictures, while N35.1 refers to acquired strictures that are not due to trauma.

How do I document a post-traumatic urethral stricture?

Document the patient's trauma history, symptoms, and any imaging studies that confirm the diagnosis of a urethral stricture.