Urethral stricture, unspecified
ICD-10 N35.9 is a billable code used to indicate a diagnosis of urethral stricture, unspecified.
Urethral stricture refers to a narrowing of the urethra, which can impede the flow of urine and lead to various urinary symptoms. This condition can arise from a variety of causes, including trauma, infection, inflammation, or previous surgical procedures. Urethral strictures can occur in both men and women, but they are more common in men due to the longer length of the male urethra. Symptoms may include difficulty urinating, a weak urine stream, 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 vary based on the severity and location of the stricture and may include dilation, urethrotomy, or surgical reconstruction. The unspecified nature of this code indicates that the specific cause or location of the stricture has not been documented, which can complicate treatment and management strategies.
Detailed patient history, including prior surgeries, infections, and symptoms; imaging studies; and treatment plans.
Patients presenting with urinary retention, recurrent UTIs, or post-surgical complications.
Ensure that the documentation clearly states the cause and location of the stricture when possible.
Comprehensive review of urinary symptoms and any relevant medical history.
Patients with unexplained urinary symptoms or those referred to urology for further evaluation.
Document any referrals to specialists and the rationale for further evaluation.
Used to evaluate the urethra in patients with suspected strictures.
Document indications for the procedure and findings.
Urologists should ensure that the procedure is justified based on clinical symptoms.
Performed to treat urethral strictures.
Document the reason for dilation and any prior treatments.
Urologists should document the extent of dilation and any complications.
Document the patient's symptoms, any diagnostic tests performed, and the clinical rationale for diagnosing a urethral stricture. Include any relevant medical history that may contribute to the condition.
