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ICD-10 Guide
ICD-10 CodesN35.81

N35.81

Billable

Other urethral stricture, male

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

Code Description

ICD-10 N35.81 is a billable code used to indicate a diagnosis of other urethral stricture, male.

Key Diagnostic Point:

N35.81 refers to a condition characterized by the narrowing of the male urethra due to various causes, excluding those classified under more specific codes. Urethral strictures can result from trauma, infection, or inflammatory conditions, leading to obstructive symptoms such as difficulty urinating, weak urine stream, and urinary retention. The condition may arise from previous surgical interventions, chronic urethritis, or congenital anomalies. Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms or cystoscopy. Treatment options vary based on the severity and location of the stricture and may include dilation, urethrotomy, or surgical reconstruction. Accurate coding is essential for proper management and reimbursement, as urethral strictures can significantly impact a patient's quality of life and may lead to complications such as urinary tract infections or bladder dysfunction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to stricture
  • Differentiation from other urethral disorders
  • Need for precise documentation of symptoms and history
  • Potential for multiple procedures related to treatment

Audit Risk Factors

  • Inadequate documentation of the cause of stricture
  • Failure to document associated symptoms
  • Misclassification of stricture type
  • Inconsistent coding of related procedures

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with obstructive urinary symptoms, recurrent urinary tract infections, or complications from previous urethral surgeries.

Billing Considerations

Ensure clarity in documentation regarding the type of stricture and any associated conditions to avoid misclassification.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings, including urinary symptoms and any referrals to specialists.

Common Clinical Scenarios

Initial evaluation of patients with urinary symptoms or those referred for urological assessment.

Billing Considerations

Document any relevant family history or risk factors that may contribute to urethral stricture development.

Coding Guidelines

Inclusion Criteria

Use N35.81 When
  • Follow official coding guidelines for urethral disorders, ensuring accurate documentation of the cause and treatment
  • Include any relevant comorbidities and associated procedures

Exclusion Criteria

Do NOT use N35.81 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystourethroscopy with dilation

Clinical Scenario

Used when performing a procedure to treat a urethral stricture.

Documentation Requirements

Document the findings from the cystourethroscopy and the specific dilation performed.

Specialty Considerations

Urologists should ensure that the procedure notes clearly correlate with the diagnosis.

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 accuracy of diagnoses and treatment tracking. N35.81 provides a distinct code for cases that do not fit into more specific categories, enhancing data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of diagnoses and treatment tracking. N35.81 provides a distinct code for cases that do not fit into more specific categories, enhancing data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of diagnoses and treatment tracking. N35.81 provides a distinct code for cases that do not fit into more specific categories, enhancing data collection and analysis.

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 are the common causes of urethral stricture?

Common causes include trauma, infections such as urethritis, previous surgeries, and congenital abnormalities. Chronic inflammation can also lead to scarring and narrowing of the urethra.