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ICD-10 Guide
ICD-10 CodesN35.111

N35.111

Billable

Postinfective urethral stricture, not elsewhere classified, male, meatal

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

Code Description

ICD-10 N35.111 is a billable code used to indicate a diagnosis of postinfective urethral stricture, not elsewhere classified, male, meatal.

Key Diagnostic Point:

Postinfective urethral stricture refers to a narrowing of the urethra that occurs as a result of a previous infection, typically urethritis. This condition is particularly relevant in males, where the meatus (the opening of the urethra) is affected. Urethral strictures can arise from various causes, including trauma, surgical interventions, or infections. In the case of postinfective strictures, inflammation and scarring from an infectious process lead to the narrowing of the urethra, which can result in obstructive urinary symptoms such as difficulty urinating, weak urine stream, or urinary retention. Diagnosis often involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms. 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 well as for tracking the incidence of this condition in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of urethral strictures
  • Understanding the underlying causes of urethritis
  • Identifying the specific location of the stricture (meatal vs. other locations)
  • Documenting previous infections and their treatment history

Audit Risk Factors

  • Inadequate documentation of the infection history
  • Failure to specify the location of the stricture
  • Misclassification of the type of stricture
  • Lack of supporting diagnostic imaging reports

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including previous infections, surgical history, and current symptoms.

Common Clinical Scenarios

Patients presenting with obstructive urinary symptoms following a history of urethritis.

Billing Considerations

Ensure that all relevant imaging studies and treatment plans are documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive documentation of patient symptoms, history of urinary tract infections, and referrals to specialists.

Common Clinical Scenarios

Patients with recurrent urinary tract infections or those reporting urinary symptoms.

Billing Considerations

Document any referrals to urology for further evaluation and management.

Coding Guidelines

Inclusion Criteria

Use N35.111 When
  • According to ICD
  • 10 guidelines, this code should be used when the urethral stricture is specifically due to a postinfective process and is not classified elsewhere
  • It is important to document the cause of the stricture and any relevant history of infections

Exclusion Criteria

Do NOT use N35.111 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystoscopy with urethral dilation

Clinical Scenario

Used when a patient presents with a urethral stricture for evaluation and treatment.

Documentation Requirements

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

Specialty Considerations

Urologists should ensure that all procedural details are captured for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like postinfective urethral stricture, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like postinfective urethral stricture, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 primary cause of postinfective urethral stricture?

The primary cause is inflammation and scarring resulting from a previous infection, such as urethritis, which leads to narrowing of the urethra.

How is postinfective urethral stricture diagnosed?

Diagnosis typically involves a detailed patient history, physical examination, and imaging studies such as retrograde urethrograms to visualize the stricture.

What are the treatment options for this condition?

Treatment options may include urethral dilation, urethrotomy, or surgical reconstruction, depending on the severity and location of the stricture.