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N99

Non-Billable (Header)

Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

N99 is the ICD-10-CM diagnosis code for intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified. N99 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified (n99).

Header codes like N99 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 N99'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 N99 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

  • irradiation cystitis (N30.4-)
  • postoophorectomy osteoporosis with current pathological fracture (M80.8-)
  • postoophorectomy osteoporosis without current pathological fracture (M81.8)

Child Codes

Code Hierarchy

N99Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
N99Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified

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