Other disorders of urethra
Chapter 14:Diseases of the genitourinary system
ICD-10 N36 is a billable code used to indicate a diagnosis of other disorders of urethra.
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.
Detailed patient history, including symptoms, duration, and prior treatments; results of diagnostic tests such as urinalysis or imaging.
Patients presenting with dysuria, urinary retention, or recurrent urinary tract infections.
Ensure that all relevant diagnostic tests and treatments are documented to support the diagnosis.
Comprehensive review of urinary symptoms, any relevant sexual history, and previous urinary tract infections.
Patients with non-specific urinary symptoms or those referred to urology for further evaluation.
Documenting the rationale for referral to specialists can aid in coding accuracy.
Used for patients with urethral strictures to relieve obstruction.
Document indication for procedure, findings during cystoscopy, and any interventions performed.
Urologists should ensure that all findings are clearly documented to support the procedure.
N36 includes various urethral disorders such as urethritis, urethral strictures, and other unspecified urethral conditions that do not fall under more specific categories.
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.