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ICD-10 Guide
ICD-10 CodesN36.8

N36.8

Billable

Other specified disorders of urethra

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

Code Description

ICD-10 N36.8 is a billable code used to indicate a diagnosis of other specified disorders of urethra.

Key Diagnostic Point:

N36.8 encompasses a variety of urethral disorders that do not fall under more specific categories. This includes conditions such as urethritis, which is inflammation of the urethra often caused by infections, and urethral stricture, a narrowing of the urethra that can lead to urinary obstruction. Other specified disorders may include congenital anomalies, trauma-related injuries, or complications arising from surgical procedures. These conditions can significantly impact urinary function and quality of life, leading to symptoms such as dysuria, urinary frequency, and urgency. Accurate diagnosis often requires a thorough clinical evaluation, including patient history, physical examination, and possibly imaging studies or urodynamic testing. Treatment options vary widely depending on the underlying cause and may include medications, catheterization, or surgical interventions. Understanding the nuances of these disorders is crucial for proper coding and ensuring appropriate reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes and presentations
  • Overlap with other urinary system disorders
  • Need for detailed clinical documentation
  • Potential for misclassification with similar codes

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Misuse of related codes leading to upcoding or downcoding
  • Failure to document the clinical rationale for treatment
  • Inconsistent coding across different encounters

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

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

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Initial evaluation of urinary symptoms before referral to a specialist.

Billing Considerations

Document any referrals made and the rationale for further evaluation.

Coding Guidelines

Inclusion Criteria

Use N36.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific disorder is documented

Exclusion Criteria

Do NOT use N36.8 When
  • Exclude conditions that are more specifically classified elsewhere

Related ICD-10 Codes

Related CPT Codes

52000CPT Code

Cystoscopy, diagnostic

Clinical Scenario

Used to evaluate urethral disorders when symptoms are present.

Documentation Requirements

Document indications for the procedure and findings.

Specialty Considerations

Urologists should ensure that all findings are clearly documented for accurate coding.

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 granularity of data for research and treatment outcomes. N36.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to ensure accurate coding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of urethral disorders, improving the granularity of data for research and treatment outcomes. N36.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to ensure accurate coding.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of urethral disorders, improving the granularity of data for research and treatment outcomes. N36.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to ensure accurate coding.

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 types of conditions are included under N36.8?

N36.8 includes various urethral disorders such as urethritis, urethral stricture, and other specified urethral conditions that do not have a more specific classification.