N33Billable, valid for claims from October 1, 2026

Bladder disorders in diseases classified elsewhere

In Other diseases of the urinary system (N30-N39), chapter 14: Diseases of the Genitourinary System

  • N33 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under N30-N39 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
  • Can't be the principal diagnosis: code the underlying condition first. (Manifestation list)

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Instructional notes

Excludes1: not coded here, use a different code

  • bladder disorder in syphilis (A52.76)
  • bladder disorder in tuberculosis (A18.12)
  • candidal cystitis (B37.41)
  • chlamydial cystitis (A56.01)
  • cystitis in gonorrhea (A54.01)
  • cystitis in neurogenic bladder (N31.-)
  • diphtheritic cystitis (A36.85)
  • syphilitic cystitis (A52.76)
  • trichomonal cystitis (A59.03)

Code first: code the underlying condition first, then this code

  • underlying disease, such as:
  • schistosomiasis (B65.0-B65.9)

Also applies, from Other diseases of the urinary system (N30-N39)

These notes sit on N30-N39 and apply to every code under it, including N33.

Excludes2: not included here, code separately if applicable

  • urinary infection (complicating):
  • abortion or ectopic or molar pregnancy (O00-O07, O08.8)
  • pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.

Read Section I.C.14 (page 62)

N33 MS-DRGs

As the principal diagnosis, N33 groups to MS-DRG 698, 699, or 700 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

N33 is in Other specified and unspecified diseases of bladder and urethra (GEN007), with 62 codes. Others in it:

  • A18.12 Tuberculosis of bladder
  • N31.0 Uninhibited neuropathic bladder, not elsewhere classified
  • N31.1 Reflex neuropathic bladder, not elsewhere classified
  • N31.2 Flaccid neuropathic bladder, not elsewhere classified
  • N31.8 Other neuromuscular dysfunction of bladder
  • N31.9 Neuromuscular dysfunction of bladder, unspecified
  • N32.0 Bladder-neck obstruction
  • N32.1 Vesicointestinal fistula

Medicare coverage articles listing N33

This Medicare billing and coding article lists N33 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Bladder Diseases

The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are: Doctors diagnose bladder diseases using different tests. These include urine tests, x-rays, and an examination of the bladder wall with a scope called a cystoscope. Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.

Read more about bladder diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 596.89 Other specified disorders of bladder (approximate)
ICD-9 to ICD-10 converter