2026 ICD-10-CM Diagnosis Code N21.1Calculus in urethra

ICD-10-CM Codes›N00–N99›N20-N23›N21

ICD-10-CM N21.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N21.1 is a billable ICD-10-CM diagnosis code for calculus in urethra. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 693 through 694. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Calculus of urinary tract.

Code Identity

ICD-10-CM Code
N21.1
Billable Status
Yes — Valid for Submission
Code Describes
Calculus in urethra
Short Description
Calculus in urethra
Same as the full description in the CMS dataset.
Parent Code
N21
Calculus of lower urinary tract

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN20-N23Urolithiasis
CategoryN21Calculus of lower urinary tract
This CodeN21.1Calculus in urethra

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Calculus in urethra
  • Calculus of lower urinary tract

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 2 Excludes

  • calculus of prostate N42.0

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Calculus, calculi, calculous
      • urethra (impacted)
    • Colic(bilious) (infantile) (intestinal) (recurrent) (spasmodic)
      • urethral
        • due to calculus
    • Stone(s)
      • urethra (impacted)
    • Urethritis(anterior) (posterior)
      • calculous
    • Urethrolithiasis(with colic or infection)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN005
Calculus of urinary tract
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Urethral Disorders

The urethra is the tube that allows urine to pass out of the body. In men, it's a long tube that runs through the penis. It also carries semen in men. In women, it's short and is just above the vagina. Urethral problems may happen due to aging, illness, or injury. They include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N21.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
594.2 Urethral calculus
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N21.1Overview

Is N21.1 (Calculus of lower urinary tract) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report calculus in urethra on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N21.1 group to?

When calculus in urethra is the principal diagnosis on an inpatient stay, it groups to MS-DRG 693, 694, with relative weights from 0.7817 to 1.3445 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N21.1?

Under the General Equivalence Mappings, calculus in urethra converts to ICD-9-CM 594.2 (urethral calculus). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.