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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.119

N35.119

Billable

Postinfective urethral stricture, not elsewhere classified, male, unspecified

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

Code Description

ICD-10 N35.119 is a billable code used to indicate a diagnosis of postinfective urethral stricture, not elsewhere classified, male, unspecified.

Key Diagnostic Point:

Postinfective urethral stricture refers to a narrowing of the urethra that occurs as a result of a previous infection, often leading to obstructive urinary symptoms. This condition is particularly relevant in males, where the urethra is longer and more susceptible to complications from infections such as urethritis. Urethritis, which is inflammation of the urethra, can be caused by sexually transmitted infections (STIs) or other bacterial infections. Following an infection, scar tissue may form, leading to a stricture that can impede urine flow, cause pain, and increase the risk of urinary tract infections (UTIs). Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms. Treatment options may include urethral 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
  • Documenting prior infections accurately

Audit Risk Factors

  • Inadequate documentation of prior infections
  • Failure to specify the type of stricture
  • Misclassification of the condition as a primary diagnosis
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including previous infections and symptoms; imaging results; treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant diagnostic tests and treatments are documented to support the diagnosis.

Infectious Disease

Documentation Requirements

Comprehensive records of infections leading to urethral stricture, including laboratory results.

Common Clinical Scenarios

Patients with recurrent UTIs or complications from STIs.

Billing Considerations

Document the relationship between the infection and the development of the stricture.

Coding Guidelines

Inclusion Criteria

Use N35.119 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • This code is specifically for postinfective urethral strictures in males and should not be used for strictures due to other causes

Exclusion Criteria

Do NOT use N35.119 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 urethral stricture symptoms.

Documentation Requirements

Document the indication for the procedure and findings during cystoscopy.

Specialty Considerations

Urologists should ensure that the procedure is linked to the diagnosis of urethral 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. N35.119 provides a clear classification for postinfective cases, enhancing data accuracy and patient care.

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. N35.119 provides a clear classification for postinfective cases, enhancing data accuracy and patient care.

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 significance of coding N35.119 accurately?

Accurate coding of N35.119 is crucial for proper patient management, reimbursement, and tracking the incidence of postinfective urethral strictures. It ensures that healthcare providers can deliver appropriate care based on the patient's history and current condition.