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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.819

N35.819

Billable

Other urethral stricture, male, unspecified site

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

Code Description

ICD-10 N35.819 is a billable code used to indicate a diagnosis of other urethral stricture, male, unspecified site.

Key Diagnostic Point:

N35.819 refers to a condition characterized by a narrowing of the urethra in males, which can lead to various urinary symptoms and complications. Urethral strictures can result from a variety of causes, including trauma, infection, inflammation, or previous surgical interventions. The narrowing can obstruct urine flow, leading to symptoms such as difficulty urinating, weak urine stream, and urinary retention. In some cases, patients may experience recurrent urinary tract infections (UTIs) or bladder dysfunction. The unspecified site designation indicates that the exact location of the stricture within the urethra is not specified, which can complicate treatment planning. Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms or cystoscopy. Treatment options may include dilation, urethrotomy, or urethral reconstruction, depending on the severity and location of the stricture. Proper coding is essential for accurate billing and to ensure that patients receive appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of stricture location
  • Differentiation from other urinary disorders
  • Potential for multiple underlying causes

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to specify the site of stricture
  • Misclassification of related urinary disorders
  • Inconsistent coding practices among providers

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 obstruction, recurrent UTIs, or post-surgical complications.

Billing Considerations

Ensure clarity in documentation regarding the location and severity of the stricture.

Primary Care

Documentation Requirements

Comprehensive history of urinary symptoms, referral notes to specialists, and follow-up care documentation.

Common Clinical Scenarios

Initial evaluation of urinary symptoms leading to referral for further management.

Billing Considerations

Document any relevant comorbidities that may affect treatment options.

Coding Guidelines

Inclusion Criteria

Use N35.819 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the code is used only when the urethral stricture is confirmed and documented
  • existing

Exclusion Criteria

Do NOT use N35.819 When
  • Exclude codes for other specific urethral conditions unless they are co

Related ICD-10 Codes

Related CPT Codes

52332CPT Code

Cystourethroscopy with dilation

Clinical Scenario

Used when performing dilation of a urethral stricture.

Documentation Requirements

Document the findings during cystourethroscopy and the extent of dilation performed.

Specialty Considerations

Urology specialists should ensure detailed procedural notes are included.

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. N35.819 provides a broader category for cases where the exact site is not specified, which can help capture a wider range of clinical scenarios.

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. N35.819 provides a broader category for cases where the exact site is not specified, which can help capture a wider range of clinical scenarios.

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. N35.819 provides a broader category for cases where the exact site is not specified, which can help capture a wider range of clinical scenarios.

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 difference between N35.819 and N35.81?

N35.819 is used for urethral strictures with an unspecified site, while N35.81 is specifically for anterior urethral strictures. Accurate coding depends on the documentation of the stricture's location.