N99.116 — Postprocedural urethral stricture, male, overlapping sites
N99.116 is a billable, specific ICD-10-CM code for postprocedural urethral stricture, male, overlapping sites. It is valid for submission on a claim.
Risk adjustment
N99.116 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
N99.116 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 N99.116 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 N99.116.
- Stricture›urethra›postprocedural›male›overlapping sites
Related codes at this level
Codes that share N99.11. If N99.116 is not quite right, the correct code is usually one of these.
- N99.110Postprocedural urethral stricture, male, meatal
- N99.111Postprocedural bulbous urethral stricture, male
- N99.112Postprocedural membranous urethral stricture, male
- N99.113Postprocedural anterior bulbous urethral stricture, male
- N99.114Postprocedural urethral stricture, male, unspecified
- N99.115Postprocedural fossa navicularis urethral stricture
Questions about N99.116
- Is N99.116 a billable ICD-10-CM code?
- Yes. N99.116 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N99.116 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified (N99).