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ICD-10 Guide
ICD-10 CodesN48.8

N48.8

Billable

Other specified disorders of penis

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

Code Description

ICD-10 N48.8 is a billable code used to indicate a diagnosis of other specified disorders of penis.

Key Diagnostic Point:

N48.8 encompasses a variety of penile disorders that do not fall under more specific categories. This includes conditions such as hydrocele, which is the accumulation of fluid around the testicle, leading to swelling and discomfort. Testicular disorders like torsion or tumors may also be relevant, as they can impact penile health indirectly. Orchitis, an inflammation of the testis, can cause pain and swelling, and may be associated with infections or autoimmune conditions. Male infertility can be linked to various penile disorders, including erectile dysfunction or anatomical abnormalities. Other penile disorders may include Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, leading to curved erections. Andrological management of these conditions often requires a multidisciplinary approach, including urologists and endocrinologists, to address both the physical and psychological aspects of male reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for detailed clinical documentation
  • Potential overlap with other codes
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of specific conditions
  • Misuse of the code for more specific disorders
  • Failure to document associated symptoms
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Management of hydrocele, orchitis, and erectile dysfunction.

Billing Considerations

Ensure clear documentation of the relationship between penile disorders and male infertility.

Andrology

Documentation Requirements

Comprehensive assessment of male reproductive health, including hormonal evaluations.

Common Clinical Scenarios

Evaluation of male infertility and associated penile disorders.

Billing Considerations

Focus on the psychosocial aspects of male reproductive health.

Coding Guidelines

Inclusion Criteria

Use N48.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the documentation supports the use of N48
  • Include specific details about the patient's condition, treatment, and any associated symptoms

Exclusion Criteria

Do NOT use N48.8 When
  • Exclude conditions that are more specifically coded elsewhere

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Incision and drainage of hydrocele

Clinical Scenario

Used when a patient with hydrocele requires surgical intervention.

Documentation Requirements

Document the size of the hydrocele and any symptoms.

Specialty Considerations

Urologists typically perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of penile disorders, improving the accuracy of diagnoses and treatment planning. N48.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to ensure appropriate use.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of penile disorders, improving the accuracy of diagnoses and treatment planning. N48.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to ensure appropriate use.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of penile disorders, improving the accuracy of diagnoses and treatment planning. N48.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to ensure appropriate use.

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 conditions are included under N48.8?

N48.8 includes various unspecified disorders of the penis, such as hydrocele, orchitis, and other penile disorders that do not have a specific code.

How do I differentiate between N48.8 and more specific codes?

Carefully review the clinical documentation to determine if the condition can be classified under a more specific code. If it cannot, N48.8 may be appropriate.