ICD-10 Coding for Bladder Neck Contracture(N32.0, Q64.3, N99.112)
Complete ICD-10-CM coding and documentation guide for Bladder Neck Contracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bladder Neck Contracture
N32-N33Primary Range
Other disorders of bladder
Includes bladder neck obstruction and related conditions.
Congenital malformations of the urinary system
Used for congenital bladder neck obstruction cases.
Postprocedural disorders of genitourinary system
Includes postprocedural urethral strictures.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N32.0 | Bladder-neck obstruction | Use for acquired bladder neck contracture not related to surgical procedures. |
|
| Q64.3 | Congenital bladder-neck obstruction | Use for congenital cases identified in pediatric patients. |
|
| N99.112 | Postprocedural urethral stricture | Use for strictures following surgical procedures like prostatectomy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bladder neck contracture
Essential facts and insights about Bladder Neck Contracture
Primary ICD-10-CM Codes for bladder neck contracture
Decision Criteria
clinical Criteria
- Presence of acquired bladder neck obstruction symptoms and diagnostic confirmation.
coding Criteria
- Avoid using for congenital or post-surgical cases.
Applicable To
- Acquired bladder neck obstruction
Excludes
- Congenital bladder neck obstruction (Q64.3)
Clinical Validation Requirements
- Cystoscopy showing stricture at bladder neck
- Uroflowmetry with reduced flow rate
- Voiding cystourethrogram indicating obstruction
Code-Specific Risks
- Misclassification with congenital cases
- Incorrect use for post-surgical strictures
Coding Notes
- Ensure documentation specifies acquired nature and excludes congenital or post-surgical causes.
Q64.3 - Congenital bladder-neck obstruction
Use for congenital cases identified in pediatric patients.
Applicable To
- Congenital bladder neck obstruction
Excludes
- Acquired bladder neck obstruction (N32.0)
Clinical Validation Requirements
- Diagnosis at birth or early childhood
- Imaging studies confirming congenital obstruction
Coding Notes
Ensure documentation specifies congenital nature.
N99.112 - Postprocedural urethral stricture
Use for strictures following surgical procedures like prostatectomy.
Applicable To
- Stricture following prostatectomy
Excludes
- Acquired bladder neck obstruction (N32.0)
Clinical Validation Requirements
- History of prostatectomy
- Cystoscopy confirming stricture at surgical site
Coding Notes
Ensure surgical history is documented.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bladder Neck Contracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N32.0.
Impact
Clinical: Leads to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to coding errors.
Mitigation Strategy
Thorough patient history review, Detailed operative notes
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify patient history and age to distinguish between congenital and acquired cases.
Impact
Reimbursement: Potential for incorrect DRG assignment., Compliance: Violation of coding standards., Data Quality: Misleading clinical data.
Mitigation Strategy
Use N99.112 for strictures following procedures like prostatectomy.
Impact
Using wrong codes for acquired vs. congenital cases.
Mitigation Strategy
Regular training on ICD-10 coding guidelines.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bladder Neck Contracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bladder Neck Contracture
Use these documentation templates to ensure complete and accurate documentation for Bladder Neck Contracture. These templates include all required elements for proper coding and billing.
Post-radical prostatectomy anastomotic stenosis
Specialty: UrologyRequired Elements
- Stricture location and size
- Procedure details
- Postoperative care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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