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v1.0.0
ICD-10 Guide
ICD-10 CodesN47.3

N47.3

Billable

Deficient foreskin

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N47.3 is a billable code used to indicate a diagnosis of deficient foreskin.

Key Diagnostic Point:

Deficient foreskin, also known as penile hypoplasia, refers to a condition where the foreskin is either absent or significantly underdeveloped. This condition can lead to various complications, including increased risk of infections, inflammation, and potential psychological impacts due to altered body image. In males, the foreskin serves protective and sensory functions, and its deficiency can affect sexual health and function. Clinically, deficient foreskin may be associated with other urogenital anomalies and can complicate conditions such as hydrocele, orchitis, and male infertility. The management of deficient foreskin often involves surgical intervention, such as circumcision, especially if the condition leads to recurrent infections or other complications. It is essential for healthcare providers to conduct a thorough assessment to rule out associated disorders and to provide appropriate counseling regarding the implications of this condition on reproductive health and overall well-being.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the condition.
  • Potential association with other urogenital disorders.
  • Need for detailed documentation to support the diagnosis.
  • Differentiation from similar conditions such as phimosis or other penile disorders.

Audit Risk Factors

  • Inadequate documentation of clinical findings.
  • Failure to document associated conditions.
  • Lack of clear indication for surgical intervention.
  • Misuse of the code in cases of normal anatomical variation.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical history, physical examination findings, and rationale for any surgical procedures performed.

Common Clinical Scenarios

Evaluation of recurrent infections, assessment of penile anomalies, and management of male infertility.

Billing Considerations

Urologists should ensure comprehensive documentation of any associated conditions and the impact on sexual health.

Pediatrics

Documentation Requirements

Growth and development assessments, parental concerns, and any referrals to specialists.

Common Clinical Scenarios

Assessment of congenital anomalies in newborns and management of urinary tract infections.

Billing Considerations

Pediatricians should document parental education regarding the condition and its implications.

Coding Guidelines

Inclusion Criteria

Use N47.3 When
  • According to ICD
  • 10 guidelines, N47
  • 3 should be used when there is clear documentation of deficient foreskin
  • It is important to differentiate this condition from other penile disorders and to ensure that all relevant clinical information is included in the medical record

Exclusion Criteria

Do NOT use N47.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54150CPT Code

Circumcision, surgical excision of foreskin

Clinical Scenario

Used when surgical intervention is performed due to deficient foreskin.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Urologists should ensure that the medical necessity for the procedure is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like deficient foreskin, improving the accuracy of medical records and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like deficient foreskin, improving the accuracy of medical records and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like deficient foreskin, improving the accuracy of medical records and facilitating better patient management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the clinical significance of deficient foreskin?

Deficient foreskin can lead to complications such as infections and may impact sexual health. It is important for healthcare providers to assess the condition thoroughly and consider surgical options if necessary.