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v1.0.0
ICD-10 Guide
ICD-10 CodesN48.29

N48.29

Billable

Other inflammatory disorders of penis

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

Code Description

ICD-10 N48.29 is a billable code used to indicate a diagnosis of other inflammatory disorders of penis.

Key Diagnostic Point:

N48.29 encompasses a range of inflammatory conditions affecting the penis that do not fall under more specific categories. This includes conditions such as balanitis, which is inflammation of the glans penis, and posthitis, inflammation of the foreskin. These disorders can arise from various etiologies, including infections (bacterial, viral, or fungal), irritants, or autoimmune processes. Symptoms may include redness, swelling, pain, and discharge. Inflammatory disorders of the penis can also be associated with systemic conditions, such as diabetes mellitus, which can predispose individuals to infections. Proper diagnosis often requires a thorough clinical examination, history taking, and sometimes laboratory tests to identify the underlying cause. Treatment may involve topical or systemic medications, lifestyle modifications, and in some cases, surgical intervention. Understanding the nuances of these conditions is crucial for effective management and coding, as they can significantly impact male reproductive health and fertility.

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
  • Potential for co-morbid conditions affecting coding
  • Need for precise documentation to support the diagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the underlying cause of inflammation
  • Misuse of related codes leading to incorrect billing
  • Lack of follow-up documentation for chronic conditions

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including 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

Urologists must document the specific type of inflammatory disorder and any associated conditions to support the diagnosis.

Dermatology

Documentation Requirements

Comprehensive skin examination notes, including descriptions of lesions and any relevant history of skin conditions.

Common Clinical Scenarios

Patients with skin lesions on the penis, suspected sexually transmitted infections, or inflammatory skin disorders.

Billing Considerations

Dermatologists should differentiate between inflammatory and infectious causes to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use N48.29 When
  • According to ICD
  • 10 guidelines, N48
  • 29 should be used when the specific inflammatory disorder of the penis does not fit into more defined categories
  • Coders must ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use N48.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54150CPT Code

Circumcision, surgical excision

Clinical Scenario

Used when surgical intervention is required for severe cases of inflammation.

Documentation Requirements

Document the indication for surgery and any prior treatments attempted.

Specialty Considerations

Urologists should ensure that the procedure is justified based on the severity of the condition.

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 accuracy of diagnoses and treatment tracking. N48.29 provides a broader category for conditions that may not have been well-defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders of the penis, improving the accuracy of diagnoses and treatment tracking. N48.29 provides a broader category for conditions that may not have been well-defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders of the penis, improving the accuracy of diagnoses and treatment tracking. N48.29 provides a broader category for conditions that may not have been well-defined in ICD-9.

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 (such as soaps or chemicals), and autoimmune conditions. Proper diagnosis is essential for effective treatment.

How can I differentiate between N48.29 and more specific codes?

N48.29 should be used when the specific type of inflammatory disorder is not known or documented. If a specific condition like balanitis or posthitis is diagnosed, use the corresponding specific code.