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v1.0.0
ICD-10 Guide
ICD-10 CodesN47.5

N47.5

Billable

Adhesions of prepuce and glans penis

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

Code Description

ICD-10 N47.5 is a billable code used to indicate a diagnosis of adhesions of prepuce and glans penis.

Key Diagnostic Point:

Adhesions of the prepuce and glans penis, also known as penile adhesions, occur when the foreskin (prepuce) becomes attached to the glans (the head of the penis). This condition can arise due to various factors, including inflammation, infection, or improper hygiene. In children, it is often a normal developmental stage, but in adults, it may lead to complications such as phimosis, pain during erection, or difficulty with hygiene. Adhesions can also contribute to other penile disorders, including balanitis and may complicate conditions like hydrocele or orchitis. Treatment typically involves surgical intervention to release the adhesions, and in some cases, circumcision may be recommended. Proper diagnosis and management are crucial to prevent further complications, including male infertility, which can arise from associated conditions affecting the reproductive system. Understanding the implications of adhesions is essential for effective andrological management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of adhesions
  • Potential for associated conditions (e.g., phimosis, balanitis)
  • Need for surgical intervention documentation
  • Differentiation from other penile disorders

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to document associated conditions
  • Lack of clarity on the surgical procedure performed
  • Misclassification of the severity of adhesions

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on the patient's history, physical examination findings, and treatment plan.

Common Clinical Scenarios

Management of penile adhesions in pediatric and adult patients, including surgical interventions.

Billing Considerations

Ensure clear documentation of the surgical procedure and any complications that arise.

Andrology

Documentation Requirements

Comprehensive assessment of male reproductive health, including fertility evaluations.

Common Clinical Scenarios

Evaluation of male infertility potentially linked to penile adhesions or associated conditions.

Billing Considerations

Document any impact on fertility and the need for further reproductive interventions.

Coding Guidelines

Inclusion Criteria

Use N47.5 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's clinical significance and any associated diagnoses
  • Include details on the treatment plan and any surgical interventions performed

Exclusion Criteria

Do NOT use N47.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54150CPT Code

Circumcision, surgical excision of prepuce

Clinical Scenario

Used when surgical intervention is required for adhesions.

Documentation Requirements

Document the indication for surgery and any complications.

Specialty Considerations

Urologists should ensure clear documentation of the surgical approach and patient consent.

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 adhesions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like adhesions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common treatments for adhesions of the prepuce and glans penis?

Common treatments include surgical release of the adhesions, circumcision, and management of any underlying infections or inflammation.