ICD-10 · PDGM grouping
N36 Other disorders of urethra
All 10 codes in the N36 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
10
Can lead a claim
9
Cannot lead a claim
1
What CMS assigns to N36
9 of the 10 codes group to MMTA - Gastrointestinal tract and Genitourinary system (8) and MMTA - Other (1); 1 is assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 9 of the 10 can lead a claim.
Every code in N36
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| N36.0 | Urethral fistula | Can lead a claim | J | None |
| N36.1 | Urethral diverticulum | Can lead a claim | J | None |
| N36.2 | Urethral caruncle | Can lead a claim | J | None |
| N36.4 Urethral functional and muscular disorders | ||||
| N36.41 | Hypermobility of urethra | Can lead a claim | J | None |
| N36.42 | Intrinsic sphincter deficiency (ISD) | Can lead a claim | J | None |
| N36.43 | Combined hypermobility of urethra and intrinsic sphincter deficiencyCMS: Combined hypermobility of urethra and intrns sphincter defic | Can lead a claim | A | None |
| N36.44 | Muscular disorders of urethra | Can lead a claim | J | None |
| N36.5 | Urethral false passage | Can lead a claim | J | None |
| N36.8 | Other specified disorders of urethra | Can lead a claim | J | None |
| N36.9 | Urethral disorder, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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