Is N35.016 a billable ICD-10-CM code?

Yes. N35.016 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N35.016 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).

What cannot be coded together with N35.016?

N35.016 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N35.016 (N35.0, N35) and apply to it just the same.

N35.016

N35.016 — Post-traumatic urethral stricture, male, overlapping sites

Billable / specific codeICD-10-CM

N35.016 is a billable, specific ICD-10-CM code for post-traumatic urethral stricture, male, overlapping sites. It is valid for submission on a claim.

Excludes1 inherited from the categories above N35.016

These are not written on N35.016, but they bind it: a note on a category applies to every code beneath it. Billing N35.016 with anything listed here is a denial.

Written on N35.0 — Post-traumatic urethral stricture

postprocedural urethral stricture (N99.1-)

Written on N35 — Urethral stricture

congenital urethral stricture (Q64.3-)
postprocedural urethral stricture (N99.1-)

Risk adjustment

N35.016 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

N35.016 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56802Billing and Coding: Urodynamics

How N35.016 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N35.016.

Stricture›urethra›post-traumatic›male›overlapping sites

Code history

N35.016 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share N35.01. If N35.016 is not quite right, the correct code is usually one of these.

Questions about N35.016

Is N35.016 a billable ICD-10-CM code?: Yes. N35.016 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N35.016 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).
What cannot be coded together with N35.016?: N35.016 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N35.016 (N35.0, N35) and apply to it just the same.