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N34 ICD-10-CM Code: Urethritis and urethral syndrome

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Other diseases of the urinary system (N30-N39)

N34

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Urethritis and urethral syndrome

Urethritis and urethral syndrome

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
N3Other diseases of the urinary system (N30-N39)
N34Urethritis and urethral syndrome

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N34 in this effective period.

Excludes 2

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

Related Child Codes

Official
N34.0Urethral abscess
N34.1Nonspecific urethritis
N34.2Other urethritis
N34.3Urethral syndrome, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for N34 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for N34 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N34 in this effective period.

Use Additional

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

Code Also

Official

ICD-10-CM does not list Code Also instructions for N34 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
N34
Description
Urethritis and urethral syndrome
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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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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