N35.116
BillablePostinfective urethral stricture, not elsewhere classified, male, overlapping sites
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N35.116 an HCC code?
No. N35.116 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
N35.116 is the ICD-10-CM diagnosis code for postinfective urethral stricture, not elsewhere classified, male, overlapping sites. A narrowing of the urethra in males caused by a previous infection that affects multiple overlapping areas. N35.116 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).
N35.116 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the postinfective stricture involves more than one anatomical site.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N35.116 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the postinfective stricture involves more than one anatomical site
- •Document which urethral regions are affected and the infectious etiology