Is N36.4 a billable ICD-10-CM code?

No. N36.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does N36.4 sit in the tabular list?

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

N36.4

N36.4 — Urethral functional and muscular disorders

Non-billable headerICD-10-CM

N36.4 is a non-billable header ICD-10-CM code for urethral functional and muscular disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify associated urinary stress incontinence (N39.3)

Risk adjustment

N36.4 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.

Code to one of these instead N36.4

4 child codes. Green means billable.

Related codes at this level

Codes that share N36. If N36.4 is not quite right, the correct code is usually one of these.

Questions about N36.4

Is N36.4 a billable ICD-10-CM code?: No. N36.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N36.4 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Other diseases of the urinary system (N30-N39).