N35.116 — Postinfective urethral stricture, not elsewhere classified, male, overlapping sites
N35.116 is a billable, specific ICD-10-CM code for postinfective urethral stricture, not elsewhere classified, male, overlapping sites. It is valid for submission on a claim.
Risk adjustment
N35.116 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
N35.116 is named in 1 Medicare coverage policy — 1 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
How N35.116 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 N35.116.
- Stricture›urethra›postinfective NEC›male›overlapping sites
Related codes at this level
Codes that share N35.11. If N35.116 is not quite right, the correct code is usually one of these.
- N35.111Postinfective urethral stricture, not elsewhere classified, male, meatal
- N35.112Postinfective bulbous urethral stricture, not elsewhere classified, male
- N35.113Postinfective membranous urethral stricture, not elsewhere classified, male
- N35.114Postinfective anterior urethral stricture, not elsewhere classified, male
- N35.119Postinfective urethral stricture, not elsewhere classified, male, unspecified
Questions about N35.116
- Is N35.116 a billable ICD-10-CM code?
- Yes. N35.116 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N35.116 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).