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ICD-10 Guide
ICD-10 CodesN47.4

N47.4

Billable

Benign cyst of prepuce

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

Code Description

ICD-10 N47.4 is a billable code used to indicate a diagnosis of benign cyst of prepuce.

Key Diagnostic Point:

A benign cyst of the prepuce, also known as a preputial cyst, is a fluid-filled sac that forms in the foreskin of the penis. These cysts are typically asymptomatic and may be discovered incidentally during a physical examination. They arise from the obstruction of sebaceous glands or other skin appendages within the prepuce, leading to the accumulation of sebum or other fluids. While they are generally harmless, they can sometimes cause discomfort or irritation, particularly if they become inflamed or infected. Diagnosis is usually made through clinical examination, and treatment is often not necessary unless the cyst becomes symptomatic. In such cases, options may include incision and drainage or surgical excision. It is important to differentiate benign cysts from other penile disorders, such as infections or malignancies, to ensure appropriate management. Regular monitoring may be recommended for asymptomatic cases, while symptomatic cysts may require intervention to alleviate discomfort.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear clinical definition with minimal ambiguity
  • Low likelihood of misdiagnosis
  • Standardized treatment protocols
  • Limited need for extensive documentation

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the nature of the cyst
  • Misclassification as a malignant condition
  • Lack of follow-up documentation for monitoring

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on the cyst's characteristics, symptoms, and any treatment provided.

Common Clinical Scenarios

Urologists often encounter patients with incidental findings of preputial cysts during routine examinations.

Billing Considerations

Ensure clear documentation of the cyst's size, location, and any associated symptoms to support coding.

Dermatology

Documentation Requirements

Photographic evidence and detailed descriptions of the cyst's appearance.

Common Clinical Scenarios

Dermatologists may see patients with preputial cysts presenting with irritation or inflammation.

Billing Considerations

Document any differential diagnoses considered to avoid confusion with other skin lesions.

Coding Guidelines

Inclusion Criteria

Use N47.4 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the cyst's characteristics
  • Include any relevant symptoms or complications in the clinical notes

Exclusion Criteria

Do NOT use N47.4 When
  • Exclude conditions that may mimic a benign cyst

Related ICD-10 Codes

Related CPT Codes

54000CPT Code

Incision and drainage of cyst

Clinical Scenario

Used when a benign cyst becomes symptomatic and requires intervention.

Documentation Requirements

Document the size, location, and symptoms of the cyst, as well as the procedure performed.

Specialty Considerations

Urologists should ensure that the procedure is clearly linked to the diagnosis of a benign cyst.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign conditions like preputial cysts, improving the accuracy of data collection and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign conditions like preputial cysts, improving the accuracy of data collection and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 symptoms of a benign cyst of the prepuce?

Most benign cysts of the prepuce are asymptomatic. However, if they become inflamed or infected, symptoms may include pain, redness, and swelling.