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v1.0.0
ICD-10 Guide
ICD-10 CodesN35.92

N35.92

Billable

Unspecified urethral stricture, female

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

Code Description

ICD-10 N35.92 is a billable code used to indicate a diagnosis of unspecified urethral stricture, female.

Key Diagnostic Point:

Unspecified urethral stricture in females refers to a narrowing of the urethra that is not attributed to a specific cause. This condition can lead to various urinary symptoms, including difficulty urinating, urinary retention, and recurrent urinary tract infections (UTIs). Urethral strictures can occur due to trauma, inflammation, or previous surgical interventions, but when unspecified, the exact etiology remains unknown. In females, urethral strictures are less common than in males, often resulting from conditions such as chronic urethritis, which may be caused by infections or irritants. The diagnosis typically involves a combination of patient history, physical examination, and imaging studies, such as retrograde urethrograms or cystoscopy, to visualize the urethra and assess the degree of narrowing. Treatment options may include dilation, urethrotomy, or surgical reconstruction, depending on the severity and symptoms presented. Accurate coding is essential for proper management and reimbursement, as it reflects the complexity of the patient's condition and the healthcare services provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for thorough documentation to establish the diagnosis
  • Potential for multiple underlying causes
  • Differentiation from other urinary disorders

Audit Risk Factors

  • Insufficient documentation of symptoms and history
  • Lack of imaging or diagnostic studies to support the diagnosis
  • Inconsistent coding of related urinary disorders
  • Failure to document treatment rationale

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 UTIs, or post-surgical complications.

Billing Considerations

Urologists must document the specific location and severity of the stricture for accurate coding.

Gynecology

Documentation Requirements

Comprehensive assessment of urinary symptoms, pelvic examination findings, and any relevant gynecological history.

Common Clinical Scenarios

Women with pelvic pain, urinary symptoms, or history of pelvic surgeries.

Billing Considerations

Gynecologists should consider the impact of pelvic floor disorders on urinary function.

Coding Guidelines

Inclusion Criteria

Use N35.92 When
  • According to ICD
  • 10 guidelines, N35
  • 92 should be used when the specific cause of the urethral stricture is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis and treatment

Exclusion Criteria

Do NOT use N35.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

52310CPT Code

Cystourethroscopy with dilation

Clinical Scenario

Used when a patient with N35.92 undergoes dilation of the urethral stricture.

Documentation Requirements

Document the indication for the procedure, findings during cystoscopy, and any interventions performed.

Specialty Considerations

Urologists should ensure that the procedure is justified based on the patient's symptoms and imaging results.

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 diagnosis and treatment documentation. N35.92 provides a clear classification for unspecified strictures in females, facilitating better patient management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral strictures, improving the accuracy of diagnosis and treatment documentation. N35.92 provides a clear classification for unspecified strictures in females, facilitating better patient management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 symptoms of urethral stricture?

Common symptoms include difficulty urinating, urinary retention, increased frequency of urination, and recurrent urinary tract infections.

How is urethral stricture diagnosed?

Diagnosis typically involves patient history, physical examination, and imaging studies such as cystoscopy or retrograde urethrogram.

What treatment options are available for urethral stricture?

Treatment options may include dilation, urethrotomy, or surgical reconstruction, depending on the severity of the stricture.