N81.0
N81.0: Urethrocele
Billable / specific codeICD-10-CM
N81.0 is a billable, specific ICD-10-CM code for urethrocele. It is valid for submission on a claim.
Check N81.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes1 inherited from the categories above N81.0
A category’s note binds every code beneath it.
Other codes that can never be billed with N81.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N81.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56802Billing and Coding: Urodynamics
- A57455Billing and Coding: Urodynamics
Alphabetic index entries that lead here
- Urethrocele
Code history
Unchanged in every release from FY2024 to FY2027.