ICD-10-CM N36.0 is the diagnosis code for Urethral fistula. This code falls under the section "Other diseases of the urinary system" within Chapter 14 — Diseases of the genitourinary system (N00-N99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as N36.0. They are mutually exclusive:
Understanding where N36.0 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, N36.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
N36.0 is the ICD-10-CM diagnosis code for "Urethral fistula". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of N36.0 is N36 ("Other disorders of urethra"). N36.0 provides a more specific classification within this category.
N36.0 is located in Section N30-N39 — "Other diseases of the urinary system" within Chapter 14 of the ICD-10-CM Tabular List.
Use N36.0 when the patients documented diagnosis matches "Urethral fistula" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Urethral fistula is N36.0.
Yes, N36.0 can be used as a primary diagnosis code since it is billable and specific.
N36.0 is in Chapter 14 of the ICD-10-CM Tabular List.
Type 1 Excludes for N36.0 include: urethroscrotal fistula (N50.89); urethrovaginal fistula (N82.1); urethrovesicovaginal fistula (N82.1).
Yes, N36.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.