ICD-10 N36
Non-Billable HeaderOther disorders of urethra
About ICD-10-CM N36
ICD-10-CM code N36 represents Other disorders of urethra. This is a non-billable header code in the Genitourinary System chapter (block N36). The 2026 edition of ICD-10-CM N36 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for N36
Local Coverage Determinations (LCDs) from CMS MACs that list N36 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N36.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but N36 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with N36
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To N36
Other codes in section N30-N39 (Other diseases of the urinary system).
ICD-10 N36, Billing FAQ
Is ICD-10 code N36 billable? +
No, N36 is a non-billable header code. Use a more specific child code from block N36 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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