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N34

Non-Billable (Header)

Urethritis and urethral syndrome

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

N34 is the ICD-10-CM diagnosis code for urethritis and urethral syndrome. N34 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering other diseases of the urinary system (n30-n39).

Header codes like N34 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at N34's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N34 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2 — Not included here, may code separately

  • Reiter's disease (M02.3-)
  • urethritis in diseases with a predominantly sexual mode of transmission (A50-A64)
  • urethrotrigonitis (N30.3-)

Use Additional Code

  • code (B95-B97), to identify infectious agent.

Child Codes

Code Hierarchy

N34Urethritis and urethral syndrome
N34Urethritis and urethral syndrome

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