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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.812

N35.812

Billable

Other bulbous urethral stricture, male

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

Code Description

ICD-10 N35.812 is a billable code used to indicate a diagnosis of other bulbous urethral stricture, male.

Key Diagnostic Point:

N35.812 refers to a specific type of urethral stricture occurring in the bulbous urethra of males. Urethral strictures are narrowings of the urethra that can result from various causes, including trauma, infection, or inflammatory conditions. In this case, 'other' indicates that the stricture does not fall under more commonly classified types, such as those caused by trauma or congenital anomalies. Symptoms may include difficulty urinating, urinary retention, and recurrent urinary tract infections (UTIs). Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms or cystoscopy. Treatment options may vary from dilation and urethrotomy to more complex surgical interventions, 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 urethral disorders in the male population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of strictures
  • Need for precise anatomical localization of the stricture
  • Differentiation from other types of urethral strictures
  • Potential for multiple underlying causes

Audit Risk Factors

  • Inadequate documentation of the stricture's characteristics
  • Failure to specify the location of the stricture
  • Misclassification of the stricture type
  • Lack of supporting evidence for surgical interventions

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with obstructive urinary symptoms, recurrent UTIs, or post-surgical complications.

Billing Considerations

Urologists must ensure that the specific type and location of the stricture are clearly documented to support the coding.

Radiology

Documentation Requirements

Imaging reports must clearly indicate findings related to urethral strictures.

Common Clinical Scenarios

Imaging studies performed for patients with suspected urethral strictures.

Billing Considerations

Radiologists should provide detailed descriptions of the stricture's location and characteristics in their reports.

Coding Guidelines

Inclusion Criteria

Use N35.812 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the stricture is confirmed and documented

Exclusion Criteria

Do NOT use N35.812 When
  • Exclude codes for strictures due to trauma or congenital anomalies unless specified otherwise

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystourethroscopy, diagnostic

Clinical Scenario

Used for evaluation of suspected urethral stricture.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists should ensure that the findings are clearly linked to 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 data collection and reimbursement processes. N35.812 provides a distinct code for a specific type of stricture, enhancing clinical understanding and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of data collection and reimbursement processes. N35.812 provides a distinct code for a specific type of stricture, enhancing clinical understanding and management.

Reimbursement & Billing Impact

reimbursement processes. N35.812 provides a distinct code for a specific type of stricture, enhancing clinical understanding and management.

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 bulbous urethral strictures?

Common causes include trauma, infections such as urethritis, and inflammatory conditions. Accurate documentation of the cause is essential for proper coding.