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2025 ICD-10-CM code N99

Intraoperative and postprocedural complications and disorders of the genitourinary system, not elsewhere classified.

Excludes2 notes specify conditions that should not be coded with N99 if they are the primary diagnosis. For instance, irradiation cystitis or post-oophorectomy osteoporosis are coded separately.

Medical necessity must be established by demonstrating that the complication is a direct result of the procedure performed.

The physician performing or managing the post-procedural care related to the genitourinary system is responsible for documenting and coding these complications.

In simple words: This code is used for problems with the urinary or reproductive systems that happen during or after a medical procedure, when there isn't a more specific code to describe the problem.

This code encompasses a range of complications and disorders affecting the genitourinary system that arise during or after a surgical or other medical procedure. These complications are not classified under other specific ICD-10 codes within the genitourinary chapter.It includes conditions like post-procedural renal failure, urethral stricture, vaginal adhesions, prolapse of the vaginal vault after hysterectomy, and pelvic peritoneal adhesions.

Example 1: A patient develops acute renal failure following a nephrectomy (kidney removal)., A patient experiences urethral stricture after a transurethral resection of the prostate (TURP)., A patient develops pelvic adhesions following a hysterectomy.

Documentation should clearly link the complication to the procedure and include details about the specific nature of the disorder.The type of procedure, date of the procedure, and the resulting genitourinary complication should be clearly documented.

** The code N99 is a general category, and more specific codes within the N99 range (e.g., N99.0 for post-procedural renal failure) should be used when applicable.The documentation should clearly differentiate between intraoperative and post-procedural complications.

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