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2025 ICD-10-CM code N34

Urethritis and urethral syndrome; use additional code (B95-B97) to identify the infectious agent if applicable.

Use additional codes as necessary to fully describe the condition and any associated infections.Follow the general coding guidelines for ICD-10-CM.Always code the etiology (cause) first, followed by the manifestation (symptom).

Medical necessity is established by the presence of symptoms consistent with urethritis or urethral syndrome, confirmed by clinical findings and/or laboratory tests as needed.For example, presence of dysuria, frequency, urgency, pyuria or urethral discharge, and/or positive culture for pathogens.

Urologist or other qualified healthcare professional.

IMPORTANT:B95-B97 (to identify infectious agent),A50-A64 (sexually transmitted infections), M02.3- (Reiter's disease), N30.3- (urethrotrigonitis)

In simple words: This code describes inflammation of the urethra (the tube that carries urine from the bladder) or a set of symptoms affecting the urethra, even without a confirmed infection.If there's an infection, an additional code will be used to specify the type of germ causing it.

This code encompasses urethritis (inflammation of the urethra) and urethral syndrome, which presents with urethral symptoms in the absence of identifiable infection.Additional codes from B95-B97 should be used to specify the infectious agent if one is identified.This code excludes urethritis associated with specific sexually transmitted infections (A50-A64), Reiter's disease (M02.3-), and urethrotrigonitis (N30.3-).

Example 1: A 25-year-old male presents with dysuria (painful urination), urethral discharge, and frequency.Physical exam reveals purulent urethral discharge.Testing reveals Neisseria gonorrhoeae.Codes N34.1 (nonspecific urethritis) and A54.8 (other gonococcal infections) are used., A 40-year-old female complains of dysuria, urinary urgency, and frequency without a visible urethral discharge.Urine culture is negative.Diagnosis is urethral syndrome. Code N34.3 (Urethral syndrome, unspecified) is used., A 60-year-old male presents with a painful swelling at the urethral meatus. Physical exam reveals an abscess. Code N34.0 (Urethral abscess) is used.

Complete patient history including symptoms, onset, and duration.Detailed physical examination notes.Results of urinalysis, urine culture, and any other relevant lab tests (e.g., sexually transmitted infection testing).Treatment plan and response to treatment.

** This code is used for cases where there is no clear etiology (cause).Further investigation may be necessary to determine the underlying cause.

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