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ICD-10 Guide
ICD-10 CodesN35.814

N35.814

Billable

Other anterior urethral stricture, male

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

Code Description

ICD-10 N35.814 is a billable code used to indicate a diagnosis of other anterior urethral stricture, male.

Key Diagnostic Point:

N35.814 refers to a condition characterized by a narrowing of the anterior urethra in males, which can lead to various urinary symptoms and complications. Anterior urethral strictures can result from trauma, infections, or inflammatory conditions, and they may present with symptoms such as difficulty urinating, weak urine stream, or urinary retention. The anterior urethra is the portion of the urethra that runs from the external urethral orifice to the bulbar urethra. Strictures can be classified as either traumatic or non-traumatic, with the latter often associated with conditions like urethritis or previous surgical interventions. Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms. Treatment options may include dilation, urethrotomy, or urethroplasty, depending on the severity and length of the stricture. Accurate coding of this condition is essential for proper management and reimbursement, as it can significantly impact patient care and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of urethral strictures
  • Understanding the underlying causes of the stricture
  • Identifying associated urinary symptoms and complications
  • Knowledge of related urinary system disorders

Audit Risk Factors

  • Inadequate documentation of the stricture's cause
  • Failure to document associated urinary symptoms
  • Incorrect coding of related procedures
  • Lack of clarity in the treatment plan

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with urinary retention, recurrent urinary tract infections, or post-surgical complications.

Billing Considerations

Ensure accurate documentation of the stricture's length and location, as well as any prior treatments.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom assessment, referral notes to urology if necessary.

Common Clinical Scenarios

Patients with unexplained urinary symptoms or those requiring referral for further evaluation.

Billing Considerations

Document any relevant medical history that may contribute to the stricture, such as previous infections or trauma.

Coding Guidelines

Inclusion Criteria

Use N35.814 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 N35.814 When
  • Exclude codes for strictures due to congenital anomalies or those classified elsewhere

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystoscopy, diagnostic

Clinical Scenario

Used to evaluate the urethra and bladder in patients with suspected strictures.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists should ensure that all findings are clearly documented to support 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 plans. N35.814 provides a clear classification for 'other' anterior urethral strictures, which aids in better patient management and research.

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 plans. N35.814 provides a clear classification for 'other' anterior urethral strictures, which aids in better patient management and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of diagnoses and treatment plans. N35.814 provides a clear classification for 'other' anterior urethral strictures, which aids in better patient management and research.

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 anterior urethral stricture?

Common causes include trauma, infections such as urethritis, and complications from previous surgeries. Understanding the underlying cause is crucial for appropriate treatment.