N35.816
BillableOther urethral stricture, male, overlapping sites
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N35.816 an HCC code?
No. N35.816 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
N35.816 is the ICD-10-CM diagnosis code for other urethral stricture, male, overlapping sites. A narrowing of the male urethra that involves multiple overlapping sections or sites. N35.816 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).
N35.816 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 when stricture spans more than one anatomical region of the urethra.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N35.816 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code when stricture spans more than one anatomical region of the urethra
- •Documentation should clearly indicate involvement of multiple sites