ICD-10-CM Code N36.0

Urethral fistula

Version 2021 Billable Code

Valid for Submission

N36.0 is a billable code used to specify a medical diagnosis of urethral fistula. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code N36.0 might also be used to specify conditions or terms like acquired urethral fistula, acquired urethrocutaneous fistula, intestinourinary fistula, multiple urethrocutaneous fistulae, perineal fistula, rectourinary fistula, etc

ICD-10:N36.0
Short Description:Urethral fistula
Long Description:Urethral fistula

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N36.0:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Urethroperineal fistula
  • Urethrorectal fistula
  • Urinary fistula NOS

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • urethroscrotal fistula N50.89
  • urethrovaginal fistula N82.1
  • urethrovesicovaginal fistula N82.1

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N36.0 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acquired urethral fistula
  • Acquired urethrocutaneous fistula
  • Intestinourinary fistula
  • Multiple urethrocutaneous fistulae
  • Perineal fistula
  • Rectourinary fistula
  • Schistosomal urethral fistula
  • Urethral fistula
  • Urethral fistula to skin
  • Urethroperineal fistula
  • Urethrorectal fistula
  • Urinary fistula
  • Urinary schistosomiasis

Diagnostic Related Groups

The ICD-10 code N36.0 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
  • 699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
  • 700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Convert N36.0 to ICD-9

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Other diseases of the urinary system (N30-N39)
      • Other disorders of urethra (N36)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Fistulas

A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries.

Some people are born with a fistula. Other common causes of fistulas include

  • Complications from surgery
  • Injury
  • Infection
  • Diseases, such as Crohn's disease or ulcerative colitis

Treatment depends on the cause of the fistula, where it is, and how bad it is. Some fistulas will close on their own. In some cases, you may need antibiotics and/or surgery.

  • Fistula (Medical Encyclopedia)
  • Gastrointestinal fistula (Medical Encyclopedia)

[Learn More]

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

  • Urethral cancer - a rare cancer that happens more often in men
  • Urethral stricture - a narrowing of the opening of the urethra
  • Urethritis - inflammation of the urethra, sometimes caused by infection

Urethral problems may cause pain or difficulty passing urine. You may also have bleeding or discharge from the urethra.

Doctors diagnose urethral problems using different tests. These include urine tests, x-rays and an examination of the urethra with a scope called a cystoscope. Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.

  • Chlamydial infections - male (Medical Encyclopedia)
  • Epispadias (Medical Encyclopedia)
  • Meatal stenosis (Medical Encyclopedia)
  • Self catheterization - female (Medical Encyclopedia)
  • Self catheterization - male (Medical Encyclopedia)
  • Traumatic injury of the bladder and urethra (Medical Encyclopedia)
  • Urethral discharge culture (Medical Encyclopedia)
  • Urethral stricture (Medical Encyclopedia)
  • Urethritis (Medical Encyclopedia)
  • Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)

[Learn More]