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ICD-10 Guide
ICD-10 CodesN48.6

N48.6

Billable

Induration penis plastica

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

Code Description

ICD-10 N48.6 is a billable code used to indicate a diagnosis of induration penis plastica.

Key Diagnostic Point:

Induration penis plastica, commonly known as Peyronie's disease, is characterized by the formation of fibrous scar tissue inside the penis, which leads to curved, painful erections. The condition can result in significant psychological distress and may affect sexual function and fertility. The etiology of induration penis plastica is not fully understood, but it is believed to involve a combination of genetic predisposition, trauma, and possibly autoimmune factors. Patients may present with penile deformity, pain during erection, and difficulty with sexual intercourse. Diagnosis is primarily clinical, supported by physical examination and patient history. Imaging studies such as ultrasound may be utilized to assess the extent of the plaque formation. Treatment options vary based on the severity of the condition and may include oral medications, injections, or surgical intervention. The management of induration penis plastica requires a multidisciplinary approach, often involving urologists and mental health professionals to address both the physical and psychological aspects of the disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Varied presentation and symptoms among patients
  • Potential overlap with other penile disorders
  • Need for comprehensive documentation of symptoms and treatment
  • Variability in treatment approaches and outcomes

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to capture associated psychological conditions
  • Misdiagnosis or coding of related conditions
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, treatment plans, and follow-up notes.

Common Clinical Scenarios

Patients presenting with penile curvature, pain during erection, or infertility issues.

Billing Considerations

Ensure documentation reflects the impact on sexual function and any psychological assessments.

Psychiatry

Documentation Requirements

Assessment of psychological impact, treatment plans for mental health support, and follow-up evaluations.

Common Clinical Scenarios

Patients experiencing anxiety or depression related to sexual dysfunction.

Billing Considerations

Document any referrals to urology and the integration of treatment plans.

Coding Guidelines

Inclusion Criteria

Use N48.6 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any associated conditions
  • Include details on the duration and severity of symptoms

Exclusion Criteria

Do NOT use N48.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54125CPT Code

Penile plication for curvature

Clinical Scenario

Used in surgical management of severe induration penis plastica.

Documentation Requirements

Document the indication for surgery, pre-operative assessments, and post-operative care.

Specialty Considerations

Urologists should ensure comprehensive documentation of the patient's condition and treatment plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of induration penis plastica, improving the ability to capture the complexity of the condition and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of induration penis plastica, improving the ability to capture the complexity of the condition and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of induration penis plastica, improving the ability to capture the complexity of the condition and its management.

Resources

Clinical References

  • •
    Peyronie's Disease Foundation

Coding & Billing References

  • •
    Peyronie's Disease Foundation

Frequently Asked Questions

What is induration penis plastica?

Induration penis plastica, or Peyronie's disease, is a condition characterized by the formation of fibrous scar tissue in the penis, leading to curvature and pain during erections.

How is induration penis plastica diagnosed?

Diagnosis is primarily clinical, based on patient history and physical examination. Imaging studies may be used to assess the extent of plaque formation.

What are the treatment options for induration penis plastica?

Treatment options include oral medications, injections, and surgical interventions, depending on the severity of the condition.