2024 ICD-10-CM Diagnosis Code N36.0
Urethral fistula
- ICD-10-CM Code:
- N36.0
- ICD-10 Code for:
- Urethral fistula
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
N36.0 is a billable diagnosis code used to specify a medical diagnosis of urethral fistula. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
Approximate 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
Clinical Classification
Clinical Category is Other specified and unspecified diseases of bladder and urethra
- CCSR Category Code: GEN007
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Urinary Fistula
an abnormal passage in any part of the urinary tract between itself or with other organs.Urinary Tract
the duct which coveys urine from the pelvis of the kidney through the ureters, bladder, and urethra.Urethral Fistula
an abnormal communication between the urethra and another organ or anatomic site.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Inclusion Terms
Inclusion TermsThese 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 ExcludesA 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.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Fistula (cutaneous) - L98.8
- - perineum, perineal (with urethral involvement) NEC - N36.0
- - rectourethral - N36.0
- - urethra - N36.0
- - urethroperineal - N36.0
- - urethrorectal - N36.0
- - urinary (tract) (persistent) (recurrent) - N36.0
Convert N36.0 to ICD-9-CM
- ICD-9-CM Code: 599.1 - Urethral fistula
Patient Education
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.
[Learn More in MedlinePlus]
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.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.