2020 ICD-10-CM Diagnosis Code N36.0

Urethral fistula

    2016 2017 2018 2019 2020 Billable/Specific Code
  • N36.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM N36.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of N36.0 - other international versions of ICD-10 N36.0 may differ.
Applicable To
  • Urethroperineal fistula
  • Urethrorectal fistula
  • Urinary fistula NOS
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as N36.0. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • urethroscrotal fistula (
    ICD-10-CM Diagnosis Code N50.89

    Other specified disorders of the male genital organs

      2017 - New Code 2018 2019 2020 Billable/Specific Code Male Dx
    Applicable To
    • Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Chylocele, tunica vaginalis (nonfilarial) NOS
    • Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
    • Stricture of spermatic cord, tunica vaginalis, and vas deferens
    • Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
    • Urethroscrotal fistula
    N50.89
    )
  • urethrovaginal fistula (
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
    N82.1
    )
  • urethrovesicovaginal fistula (
    ICD-10-CM Diagnosis Code N82.1

    Other female urinary-genital tract fistulae

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Cervicovesical fistula
    • Ureterovaginal fistula
    • Urethrovaginal fistula
    • Uteroureteric fistula
    • Uterovesical fistula
    N82.1
    )
The following code(s) above N36.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N36.0:
  • N00-N99
    2020 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the genitourinary system
  • N30-N39
    2020 ICD-10-CM Range N30-N39

    Other diseases of the urinary system

    Type 1 Excludes
    • urinary infection (complicating):
    • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
    • pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)
    Other diseases of the urinary system
Approximate Synonyms
  • Acquired urethrocutaneous fistula
  • Urethral false passage
  • Urethrocutaneous fistula
  • Urethrorectal fistula
Clinical Information
  • A disorder characterized by an abnormal communication between any part of the urinary system and another organ or anatomic site.
  • An abnormal communication between any part of the urinary system and another organ or cavity.
  • An abnormal communication between the urethra and another organ or anatomic site.
  • An abnormal passage in any part of the urinary tract between itself or with other organs.
ICD-10-CM N36.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 698 Other kidney and urinary tract diagnoses with mcc
  • 699 Other kidney and urinary tract diagnoses with cc
  • 700 Other kidney and urinary tract diagnoses without cc/mcc

Convert N36.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to N36.0:
  • Fistula (cutaneous) L98.8
    ICD-10-CM Diagnosis Code L98.8

    Other specified disorders of the skin and subcutaneous tissue

      2016 2017 2018 2019 2020 Billable/Specific Code

ICD-10-CM Codes Adjacent To N36.0
N35.9 Urethral stricture, unspecified
N35.91 Urethral stricture, unspecified, male
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
N35.92 Unspecified urethral stricture, female
N36 Other disorders of urethra
N36.0 Urethral fistula
N36.1 Urethral diverticulum
N36.2 Urethral caruncle
N36.4 Urethral functional and muscular disorders
N36.41 Hypermobility of urethra
N36.42 Intrinsic sphincter deficiency (ISD)
N36.43 Combined hypermobility of urethra and intrinsic sphincter deficiency
N36.44 Muscular disorders of urethra
N36.5 Urethral false passage
N36.8 Other specified disorders of urethra
N36.9 Urethral disorder, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.