N35.811
BillableOther urethral stricture, male, meatal
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N35.811 an HCC code?
No. N35.811 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
N35.811 is the ICD-10-CM diagnosis code for other urethral stricture, male, meatal. A narrowing of the opening of the urethra (meatus) in males due to causes other than infection. N35.811 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).
N35.811 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.
The '811' specificity indicates meatal location; confirm documentation specifies this anatomical site.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N35.811 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •The '811' specificity indicates meatal location; confirm documentation specifies this anatomical site
- •Distinguish from post-infectious strictures which use different code categories