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v1.0.0
ICD-10 Guide
ICD-10 CodesN48.2

N48.2

Billable

Other inflammatory disorders of penis

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

Code Description

ICD-10 N48.2 is a billable code used to indicate a diagnosis of other inflammatory disorders of penis.

Key Diagnostic Point:

N48.2 encompasses a range of inflammatory conditions affecting the penis that do not fall under more specific categories. These disorders can include conditions such as balanitis, which is inflammation of the glans penis, and posthitis, inflammation of the foreskin. The etiology of these inflammatory disorders can be infectious, autoimmune, or irritative. Symptoms often include redness, swelling, pain, and discharge, which can significantly impact a patient's quality of life and sexual function. Inflammatory disorders of the penis can also be associated with other conditions such as hydrocele, orchitis, and male infertility, necessitating a comprehensive approach to diagnosis and management. Treatment may involve topical or systemic medications, lifestyle modifications, and in some cases, surgical intervention. Accurate coding is essential for proper reimbursement and to ensure that the underlying causes of these disorders are addressed in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (infectious, autoimmune, irritative)
  • Overlap with other genital disorders requiring differential diagnosis
  • Need for detailed clinical documentation to support coding
  • Potential for co-morbid conditions affecting treatment and coding

Audit Risk Factors

  • Insufficient documentation of symptoms and clinical findings
  • Failure to specify the type of inflammatory disorder
  • Inadequate linkage between diagnosis and treatment provided
  • Misclassification of the condition due to overlapping symptoms

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including patient history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with penile pain, swelling, or discharge; recurrent infections; or infertility issues.

Billing Considerations

Ensure that all relevant diagnostic tests and treatments are documented to support the coding of inflammatory disorders.

Dermatology

Documentation Requirements

Comprehensive skin examination findings, including descriptions of lesions and any associated symptoms.

Common Clinical Scenarios

Patients with skin conditions affecting the genital area, including inflammatory responses to infections or irritants.

Billing Considerations

Document any differential diagnoses considered and the rationale for the final diagnosis.

Coding Guidelines

Inclusion Criteria

Use N48.2 When
  • According to ICD
  • 10 coding guidelines, N48
  • 2 should be used when the specific inflammatory disorder of the penis does not fit into more defined categories
  • Coders should ensure that the documentation supports the diagnosis and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use N48.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Circumcision, surgical

Clinical Scenario

Performed in cases of recurrent posthitis or balanitis not responsive to conservative treatment.

Documentation Requirements

Document the indication for surgery and any prior treatments attempted.

Specialty Considerations

Urologists should ensure that the surgical necessity is well-documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders of the penis, improving the ability to capture the complexity of these conditions and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders of the penis, improving the ability to capture the complexity of these conditions and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders of the penis, improving the ability to capture the complexity of these conditions and their 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 are the common causes of inflammatory disorders of the penis?

Common causes include infections (bacterial, viral, fungal), irritants (soaps, chemicals), and autoimmune conditions. Proper diagnosis is essential for effective treatment.

How can I differentiate between N48.2 and more specific codes?

N48.2 is used when the inflammatory disorder does not fit into more specific categories like balanitis or posthitis. Detailed documentation is key to supporting the use of this code.