N21.1

Calculus in urethra

FY2027Chapter 14: Diseases of the genitourinary system/N20–N23 Urolithiasis

BillableComplete code, valid to report

N21.1 (also written N211) is a billable ICD-10-CM diagnosis code for calculus in urethra. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category N21 (Calculus of lower urinary tract). The Alphabetic Index lists it under 5 entries. Its coding notes include 9 Excludes2 entries.

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • calculus of prostate (N42.0)
Also from chapter/block level (8 notes)
Inherited from Chapter 14 Diseases of the genitourinary system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Gastrointestinal tract and Genitourinary system clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from N21 Calculus of lower urinary tract
  • calculus of lower urinary tract with cystitis and urethritis

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 5 entries