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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN44

N44

Billable

Noninflammatory disorders of testis

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N44 is a billable code used to indicate a diagnosis of noninflammatory disorders of testis.

Key Diagnostic Point:

Noninflammatory disorders of the testis encompass a variety of conditions that affect the male reproductive system without an inflammatory component. This includes hydrocele, which is the accumulation of fluid around the testicle, leading to swelling and discomfort. Testicular disorders may also involve conditions such as testicular torsion, which is a surgical emergency, and varicocele, characterized by enlarged veins within the scrotum that can affect fertility. Orchitis, while primarily inflammatory, can sometimes be associated with noninflammatory conditions, particularly in chronic cases. Male infertility can arise from various noninflammatory factors, including hormonal imbalances, anatomical abnormalities, and genetic issues. Penile disorders, such as Peyronie's disease, can also be linked to testicular health, as they may affect sexual function and fertility. 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 under the code
  • Overlap with inflammatory disorders
  • Need for precise documentation of symptoms
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Misclassification of inflammatory vs. noninflammatory conditions
  • Failure to document co-existing conditions
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including patient history, physical examination findings, and diagnostic test results.

Common Clinical Scenarios

Evaluation of a patient presenting with scrotal swelling, infertility assessments, and management of varicocele.

Billing Considerations

Ensure that all relevant symptoms and diagnostic tests are documented to support the diagnosis and treatment plan.

Endocrinology

Documentation Requirements

Hormonal assessment results, patient history regarding fertility issues, and any relevant imaging studies.

Common Clinical Scenarios

Assessment of hormonal imbalances contributing to male infertility and management of associated conditions.

Billing Considerations

Document any hormonal therapies or interventions clearly to support coding for related conditions.

Coding Guidelines

Inclusion Criteria

Use N44 When
  • According to ICD
  • 10 guidelines, N44 includes noninflammatory conditions affecting the testis
  • It is essential to differentiate these from inflammatory conditions (N43) and ensure accurate documentation of the clinical scenario

Exclusion Criteria

Do NOT use N44 When
  • Exclusion criteria include any documented inflammatory processes

Related CPT Codes

55040CPT Code

Varicocelectomy

Clinical Scenario

Performed for symptomatic varicocele associated with infertility.

Documentation Requirements

Pre-operative assessment, surgical notes, and post-operative follow-up.

Specialty Considerations

Urologists should ensure detailed documentation of indications for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders of the testis, improving the granularity of data for research and treatment outcomes. It has also necessitated more detailed documentation practices among healthcare providers.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders of the testis, improving the granularity of data for research and treatment outcomes. It has also necessitated more detailed documentation practices among healthcare providers.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninflammatory disorders of the testis, improving the granularity of data for research and treatment outcomes. It has also necessitated more detailed documentation practices among healthcare providers.

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 N44?

N44 includes noninflammatory disorders such as hydrocele, varicocele, and testicular torsion, among others.

How do I differentiate between inflammatory and noninflammatory testicular disorders?

Careful documentation of symptoms, clinical findings, and diagnostic tests is essential to differentiate between inflammatory conditions (coded under N43) and noninflammatory disorders (coded under N44).