N35.814 ICD-10-CM Code: Other anterior urethral stricture, male
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 2 Excludes1 · 3 Excludes2
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 697 — URETHRAL STRICTURE (MDC 11)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for N35.814 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on N35.814 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- postprocedural urethral stricture (N99.1-) Compare N35.814 vs N99.1 →
- congenital urethral stricture (Q64.3-) Compare N35.814 vs Q64.3 →
Source: inherited from N35
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- urinary infection (complicating):
- abortion or ectopic or molar pregnancy (O00-O07, O08.8) Compare N35.814 vs O00 →
- pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-) Compare N35.814 vs O23 →
Source: inherited from N30-N39
Coder workflow for N35.814
MedCoder structured workflow — derived from this code’s own official record
Before you code N35.814
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on N35.814; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with N35.814. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in N35.814’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider N35.814. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Anatomical site
- At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting N35.814(2 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with N35.814: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of N35.814(3 notes)
Coding workflow: The conditions named in this note are not included in N35.814. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
CompareO08.8, O23, O75.3, O86.2
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition N35.814 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (1)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 1 MS-DRG: DRG 697 (MDC 11).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):GEN007 — Other specified and unspecified diseases of bladder and urethra (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified diseases of bladder and urethra).
N35.112 — Postinfective bulbous urethral stricture, not elsewhere classified, male, N35.113 — Postinfective membranous urethral stricture, not elsewhere classified, male, N35.114 — Postinfective anterior urethral stricture, not elsewhere classified, male, N35.116 — Postinfective urethral stricture, not elsewhere classified, male, overlapping sites, N35.119 — Postinfective urethral stricture, not elsewhere classified, male, unspecified, N35.12 — Postinfective urethral stricture, not elsewhere classified, female, N35.8 — Other urethral stricture, N35.811 — Other urethral stricture, male, meatal, N35.812 — Other bulbous urethral stricture, male, N35.813 — Other membranous urethral stricture, male, N35.816 — Other urethral stricture, male, overlapping sites, N35.819 — Other urethral stricture, male, unspecified site, N35.82 — Other urethral stricture, female, N35.9 — Urethral stricture, unspecified, N35.911 — Unspecified urethral stricture, male, meatal, N35.912 — Unspecified bulbous urethral stricture, male, N35.913 — Unspecified membranous urethral stricture, male, N35.914 — Unspecified anterior urethral stricture, male, N35.916 — Unspecified urethral stricture, male, overlapping sites, N35.919 — Unspecified urethral stricture, male, unspecified site, +43 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Stricture”; these codes share that main term but sit in a different category of the Tabular List.
K94.03 — Colostomy malfunction (colostomy), K94.13 — Enterostomy malfunction (enterostomy), K94.23 — Gastrostomy malfunction (stoma, gastrostomy), N11.1 — Chronic obstructive pyelonephritis (ureter, with, pyelonephritis), N13.0 — Hydronephrosis with ureteropelvic junction obstruction (pelviureteric junction, acquired, with hydronephrosis), N13.1 — Hydronephrosis with ureteral stricture, not elsewhere classified (ureter, with, hydronephrosis), N13.5 — Crossing vessel and stricture of ureter without hydronephrosis (ureter), N13.6 — Pyonephrosis (ureterovesical orifice, with infection), N32.0 — Bladder-neck obstruction (bladder, neck), N32.89 — Other specified disorders of bladder (bladder), N42.89 — Other specified disorders of prostate (prostate), N50.89 — Other specified disorders of the male genital organs (vas deferens), N85.6 — Intrauterine synechiae (uterus, uterine), N88.2 — Stricture and stenosis of cervix uteri (cervix, cervical), N89.6 — Tight hymenal ring (hymen), N90.5 — Atrophy of vulva (vulva), N97.1 — Female infertility of tubal origin (fallopian tube), N99.110 — Postprocedural urethral stricture, male, meatal (urethra, postprocedural, male, meatal), N99.111 — Postprocedural bulbous urethral stricture, male (urethra, postprocedural, male, bulbous urethra), N99.112 — Postprocedural membranous urethral stricture, male (urethra, postprocedural, male, membranous urethra), +101 more
Contextual Map
Every relationship of N35.814 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N30-N39 — Other diseases of the urinary system[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Clinical classification (CCSR)
- GEN007 — Other specified and unspecified diseases of bladder and urethra[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 697 — URETHRAL STRICTURE[MS-DRG]: “URETHRAL STRICTURE (MDC 11)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract[MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 3,574 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Stricture, urethra (organic) (spasmodic), specified cause NEC, male, anterior urethra[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes (38)
- N35 — Urethral stricture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.0 — Post-traumatic urethral stricture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.01 — Post-traumatic urethral stricture, male[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.010 — Post-traumatic urethral stricture, male, meatal[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.011 — Post-traumatic bulbous urethral stricture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.012 — Post-traumatic membranous urethral stricture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.013 — Post-traumatic anterior urethral stricture[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N35.014 — Post-traumatic urethral stricture, male, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 30 more
Change history (3)
- FY2020 — Description revised[Change history]— CMS release files (code change ledger) · icd10cm-fy2020
- and 2 more
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "N35.814 — Other anterior urethral stricture, male." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/n35.814-other-anterior-urethral-stricture-male
Change history
- FY2020 — October 1, 2019Description revisedOther anterior urethral stricture, male, anterior → Other anterior urethral stricture, maleFY2020 changes
- FY2020 — October 1, 2019Short description revisedOther anterior urethral stricture, male, anterior → Other anterior urethral stricture, maleFY2020 changes
- FY2019 — October 1, 2018Added to the code setOther anterior urethral stricture, male, anteriorFY2019 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to N35.814 in its code family, with their registry titles.
- N35.8 — Other urethral stricture
- N35.81 — Other urethral stricture, male
- N35.811 — Other urethral stricture, male, meatal
- N35.812 — Other bulbous urethral stricture, male
- N35.813 — Other membranous urethral stricture, male
- N35.816 — Other urethral stricture, male, overlapping sites
- N35.819 — Other urethral stricture, male, unspecified site
- N35.82 — Other urethral stricture, female
- N35.9 — Urethral stricture, unspecified
- N35.91 — Urethral stricture, unspecified, male