N35.912
BillableUnspecified bulbous urethral stricture, male
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N35.912 an HCC code?
No. N35.912 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
N35.912 is the ICD-10-CM diagnosis code for unspecified bulbous urethral stricture, male. A narrowing of the bulbous portion of the male urethra where the cause is unknown or unspecified. N35.912 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).
N35.912 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.
This unspecified code is appropriate when bulbous location is documented but etiology is unclear.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N35.912 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This unspecified code is appropriate when bulbous location is documented but etiology is unclear
- •Attempt to clarify etiology through provider query for more precise coding