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v1.0.0
ICD-10 Guide
ICD-10 CodesN50.819

N50.819

Billable

Testicular pain, unspecified

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

Code Description

ICD-10 N50.819 is a billable code used to indicate a diagnosis of testicular pain, unspecified.

Key Diagnostic Point:

Testicular pain, unspecified (N50.819) refers to pain localized in the testicular region without a specified underlying cause. This condition can arise from various etiologies, including trauma, infections, torsion, or referred pain from other pelvic structures. The pain may be acute or chronic and can significantly impact a patient's quality of life and sexual health. In cases of acute testicular pain, immediate evaluation is crucial to rule out serious conditions such as testicular torsion, which requires urgent surgical intervention. Chronic testicular pain may be associated with conditions like epididymitis or varicocele. The diagnosis often involves a thorough history, physical examination, and may include imaging studies such as ultrasound to assess for abnormalities. Proper documentation is essential to capture the nature of the pain, duration, and any associated symptoms, which aids in determining the appropriate management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in underlying causes of testicular pain.
  • Need for thorough documentation to specify pain characteristics.
  • Potential overlap with other diagnoses (e.g., epididymitis, torsion).
  • Differentiation between acute and chronic pain presentations.

Audit Risk Factors

  • Inadequate documentation of the pain's characteristics.
  • Failure to specify associated symptoms or conditions.
  • Misuse of unspecified codes when more specific codes are available.
  • Inconsistent coding practices across providers.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of acute scrotal pain, chronic testicular pain management, and post-operative pain assessment.

Billing Considerations

Urologists must ensure that all potential causes of testicular pain are considered and documented to support the diagnosis.

Primary Care

Documentation Requirements

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

Common Clinical Scenarios

Initial evaluation of testicular pain, referrals to specialists, and management of chronic pain.

Billing Considerations

Primary care providers should document any referrals and follow-up care to ensure continuity of care.

Coding Guidelines

Inclusion Criteria

Use N50.819 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used when the specific cause of testicular pain is not documented
  • Include additional codes for any underlying conditions or complications

Exclusion Criteria

Do NOT use N50.819 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Testicular ultrasound

Clinical Scenario

Used to evaluate testicular pain.

Documentation Requirements

Document the reason for the ultrasound and findings.

Specialty Considerations

Urologists may perform this procedure in-office or refer to radiology.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of testicular pain, improving the ability to capture the nuances of male genital disorders and enhancing data accuracy for treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of testicular pain, improving the ability to capture the nuances of male genital disorders and enhancing data accuracy for treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of testicular pain, improving the ability to capture the nuances of male genital disorders and enhancing data accuracy for treatment outcomes.

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

When should I use N50.819?

Use N50.819 when the patient presents with testicular pain and the underlying cause is not specified or documented.