Is N36.8 a billable ICD-10-CM code?

Yes. N36.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N36.8 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 N36.8?

N36.8 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N36.8

N36.8 — Other specified disorders of urethra

Billable / specific codeICD-10-CM

N36.8 is a billable, specific ICD-10-CM code for other specified disorders of urethra. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital urethrocele (Q64.7)
female urethrocele (N81.0)

Risk adjustment

N36.8 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

N36.8 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A56802Billing and Coding: Urodynamics
A57123Billing and Coding: Nerve Conduction Studies and Electromyography
A57455Billing and Coding: Urodynamics

How N36.8 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 N36.8.

Hydrourethra
Urethrorrhagia
Urinoma, urethra
Cicatrix›urethra
Colic›urethral
Congestion, congestive›urethra
Cyst›bulbourethral gland
Cyst›Cowper's gland(benign) (infected)
Cyst›paraurethral duct
Cyst›Skene's gland
Cyst›suburethral
Cyst›urethra, urethral(gland)

Related codes at this level

Codes that share N36. If N36.8 is not quite right, the correct code is usually one of these.

Questions about N36.8

Is N36.8 a billable ICD-10-CM code?: Yes. N36.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N36.8 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 N36.8?: N36.8 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.