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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.913

N35.913

Billable

Unspecified membranous urethral stricture, male

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

Code Description

ICD-10 N35.913 is a billable code used to indicate a diagnosis of unspecified membranous urethral stricture, male.

Key Diagnostic Point:

Unspecified membranous urethral stricture in males refers to a narrowing of the membranous portion of the urethra, which can lead to obstructive urinary symptoms. This condition may arise from various etiologies, including trauma, infection, or inflammatory processes. Patients may present with symptoms such as difficulty urinating, weak urine stream, or urinary retention. Diagnosis typically involves a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms or cystoscopy. Treatment options may include urethral dilation, internal urethrotomy, or urethroplasty, 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 strictures in the male population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise documentation of the stricture's location and cause
  • Differentiation from other urinary disorders such as urethritis
  • Potential for co-existing conditions that may complicate coding

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to specify the type of stricture or its cause
  • Misclassification of the condition as urethritis or other 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 obstructive urinary symptoms, post-surgical complications, or recurrent urinary tract infections.

Billing Considerations

Ensure clear documentation of the stricture's characteristics and any prior treatments to support the coding.

Primary Care

Documentation Requirements

Comprehensive patient history, symptom assessment, and referrals to specialists as needed.

Common Clinical Scenarios

Initial evaluation of urinary symptoms, management of chronic conditions, and referrals for surgical intervention.

Billing Considerations

Document any relevant comorbidities that may affect treatment and coding.

Coding Guidelines

Inclusion Criteria

Use N35.913 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific type of membranous urethral stricture is not documented
  • Include any relevant symptoms or associated conditions in the documentation

Exclusion Criteria

Do NOT use N35.913 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystourethroscopy, diagnostic

Clinical Scenario

Used to evaluate the urethra for strictures.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists should ensure that 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 data accuracy and enabling better tracking of treatment outcomes and epidemiology.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving data accuracy and enabling better tracking of treatment outcomes and epidemiology.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving data accuracy and enabling better tracking of treatment outcomes and epidemiology.

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 significance of specifying the type of urethral stricture?

Specifying the type of urethral stricture is crucial for accurate coding, treatment planning, and understanding the underlying causes, which can influence management strategies.