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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN36

N36

Billable

Other disorders of urethra

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N36 is a billable code used to indicate a diagnosis of other disorders of urethra.

Key Diagnostic Point:

N36 encompasses a variety of urethral disorders that do not fall under more specific categories. This includes urethritis, which is the inflammation of the urethra often caused by infections, and urethral strictures, which are narrowings of the urethra that can lead to obstructive symptoms. Other disorders may include congenital anomalies, trauma-related injuries, or complications arising from surgical procedures. Urethritis can present with symptoms such as dysuria, increased urinary frequency, and discharge, while strictures may lead to urinary retention, weak stream, or recurrent urinary tract infections. Accurate diagnosis often requires a combination of patient history, physical examination, and diagnostic imaging or endoscopy. Treatment options vary based on the underlying cause and may include antibiotics for infections, dilation or surgical intervention for strictures, and management of any associated urinary symptoms. Understanding the nuances of these conditions is essential for proper coding and ensuring appropriate patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (infectious, traumatic, congenital)
  • Overlap with other urinary system disorders
  • Need for detailed clinical documentation
  • Potential for multiple diagnoses in a single patient

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Misclassification of urethral disorders
  • Failure to link diagnosis with appropriate procedures
  • Inconsistent coding across different healthcare providers

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, including symptoms, duration, and prior treatments; results of diagnostic tests such as urinalysis or imaging.

Common Clinical Scenarios

Patients presenting with dysuria, urinary retention, or recurrent urinary tract infections.

Billing Considerations

Ensure that all relevant diagnostic tests and treatments are documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive review of urinary symptoms, any relevant sexual history, and previous urinary tract infections.

Common Clinical Scenarios

Patients with non-specific urinary symptoms or those referred to urology for further evaluation.

Billing Considerations

Documenting the rationale for referral to specialists can aid in coding accuracy.

Coding Guidelines

Inclusion Criteria

Use N36 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • N36 should be used when the specific cause of the urethral disorder is not classified elsewhere
  • Ensure to check for any additional codes that may be required for associated conditions

Exclusion Criteria

Do NOT use N36 When
No specific exclusions found.

Related CPT Codes

52332CPT Code

Cystourethroscopy with dilation

Clinical Scenario

Used for patients with urethral strictures to relieve obstruction.

Documentation Requirements

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

Specialty Considerations

Urologists should ensure that all findings are clearly documented to support the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of urethral disorders, improving the ability to capture the complexity of these conditions. N36 provides a broader category for disorders that may not fit neatly into other classifications, enhancing data accuracy and patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral disorders, improving the ability to capture the complexity of these conditions. N36 provides a broader category for disorders that may not fit neatly into other classifications, enhancing data accuracy and patient care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urethral disorders, improving the ability to capture the complexity of these conditions. N36 provides a broader category for disorders that may not fit neatly into other classifications, enhancing data accuracy and patient care.

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 conditions are included under N36?

N36 includes various urethral disorders such as urethritis, urethral strictures, and other unspecified urethral conditions that do not fall under more specific categories.

When should I use N36 instead of more specific codes?

Use N36 when the urethral disorder does not have a more specific diagnosis available or when the documentation does not support a more precise code.