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v1.0.0
ICD-10 Guide
ICD-10 CodesN50.812

N50.812

Billable

Left testicular pain

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

Code Description

ICD-10 N50.812 is a billable code used to indicate a diagnosis of left testicular pain.

Key Diagnostic Point:

Left testicular pain refers to discomfort or pain localized in the left testicle, which can arise from various underlying conditions affecting the male genital organs. This pain may be acute or chronic and can be associated with conditions such as epididymitis, testicular torsion, trauma, or referred pain from other pelvic organs. The clinical presentation may include swelling, redness, or tenderness in the affected area, and it may be accompanied by systemic symptoms like fever or nausea, depending on the underlying cause. Accurate diagnosis often requires a thorough clinical evaluation, including a physical examination and possibly imaging studies such as ultrasound. Treatment varies based on the etiology and may include antibiotics for infections, pain management, or surgical intervention for torsion or other structural issues. Understanding the nuances of this condition is crucial for effective management and coding, as it can significantly impact a patient's sexual health and overall quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic pain
  • Identifying underlying causes (e.g., infection, torsion)
  • Potential for referral to urology or other specialties
  • Need for precise documentation of symptoms and findings

Audit Risk Factors

  • Inadequate documentation of pain characteristics
  • Failure to specify acute vs. chronic pain
  • Lack of supporting evidence for diagnosis
  • Misclassification of pain as primary when secondary causes exist

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of present illness, physical examination findings, and any imaging or lab results.

Common Clinical Scenarios

Evaluation of acute scrotal pain, management of epididymitis, and assessment of testicular torsion.

Billing Considerations

Urologists must document the onset, duration, and severity of pain, as well as any associated symptoms to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history, including sexual health history and any relevant medical conditions.

Common Clinical Scenarios

Initial evaluation of testicular pain, referral to specialists, and management of sexually transmitted infections.

Billing Considerations

Primary care providers should ensure thorough documentation of the patient's sexual health and any risk factors for testicular conditions.

Coding Guidelines

Inclusion Criteria

Use N50.812 When
  • According to ICD
  • 10 guidelines, N50
  • 812 should be used when the primary complaint is left testicular pain without a specified underlying condition
  • Coders must ensure that the documentation supports the diagnosis and that any associated conditions are coded appropriately

Exclusion Criteria

Do NOT use N50.812 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of testicular tissue

Clinical Scenario

Used when a biopsy is performed to evaluate testicular pathology.

Documentation Requirements

Pathology report and clinical notes supporting the need for biopsy.

Specialty Considerations

Urologists should ensure that the clinical rationale for the biopsy is clearly documented.

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 left testicular pain, 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 left testicular pain, 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 causes of left testicular pain?

Common causes include epididymitis, testicular torsion, trauma, and referred pain from other pelvic conditions. A thorough evaluation is necessary to determine the underlying cause.