Adherent prepuce, newborn
ICD-10 N47.0 is a billable code used to indicate a diagnosis of adherent prepuce, newborn.
Adherent prepuce, also known as phimosis in newborns, is a condition where the foreskin (prepuce) is tightly adhered to the glans penis, making it difficult or impossible to retract. This condition is common in newborns and typically resolves spontaneously as the child grows. The adherence is due to the natural fusion of the prepuce to the glans, which is a normal developmental stage. In most cases, no intervention is required unless complications arise, such as urinary obstruction or recurrent infections. Pediatricians and urologists monitor the condition during routine examinations, and parental education is crucial to avoid unnecessary manipulation of the foreskin. If the condition persists beyond early childhood or leads to complications, surgical intervention, such as circumcision, may be considered. Understanding the normal developmental anatomy and the typical course of this condition is essential for healthcare providers to ensure appropriate management and avoid unnecessary procedures.
Detailed notes on the physical examination findings and parental education provided.
Routine well-child visits where the condition is assessed.
Emphasis on normal developmental variations and reassurance to parents.
Comprehensive assessment of urinary function and any complications.
Referral for persistent phimosis or complications such as urinary obstruction.
Consideration of surgical options and their implications.
Used when surgical intervention is required for persistent phimosis.
Document the indication for surgery and any preoperative assessments.
Urology specialists should ensure all conservative measures have been attempted before proceeding.
No, adherent prepuce is a common and typically benign condition in newborns that usually resolves on its own.
