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v1.0.0
ICD-10 Guide
ICD-10 CodesN47.7

N47.7

Billable

Other inflammatory diseases of prepuce

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

Code Description

ICD-10 N47.7 is a billable code used to indicate a diagnosis of other inflammatory diseases of prepuce.

Key Diagnostic Point:

N47.7 refers to various inflammatory conditions affecting the prepuce (foreskin) that do not fall under more specific categories. These conditions can include balanitis, posthitis, and other inflammatory processes that may arise due to infections, irritants, or underlying systemic diseases. Symptoms often include redness, swelling, pain, and discharge. Inflammatory diseases of the prepuce can lead to complications such as phimosis or paraphimosis, which may require surgical intervention. The management of these conditions often involves a combination of topical treatments, hygiene education, and in some cases, circumcision. It is essential to differentiate these inflammatory conditions from other penile disorders, such as penile cancer or sexually transmitted infections, to ensure appropriate treatment and management. Accurate coding is crucial for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (infectious, non-infectious)
  • Overlap with other penile disorders
  • Need for detailed clinical documentation
  • Potential for surgical intervention

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the type of inflammatory disease
  • Misclassification with other penile disorders
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of symptoms, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with recurrent balanitis, phimosis, or posthitis.

Billing Considerations

Ensure documentation reflects the severity and duration of symptoms to justify the chosen treatment.

Dermatology

Documentation Requirements

Comprehensive skin examination notes, including any relevant dermatological history.

Common Clinical Scenarios

Patients with inflammatory skin conditions affecting the genital area.

Billing Considerations

Document any differential diagnoses considered and treatments attempted.

Coding Guidelines

Inclusion Criteria

Use N47.7 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the inflammatory disease of the prepuce is confirmed and not due to other specified conditions
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use N47.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Circumcision, surgical

Clinical Scenario

Used when surgical intervention is required due to chronic inflammatory conditions.

Documentation Requirements

Document the indication for surgery, including failed conservative management.

Specialty Considerations

Urologists should ensure that the surgical necessity is well-documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of inflammatory diseases of the prepuce, improving the accuracy of diagnosis and treatment tracking. N47.7 provides a broader category for conditions that may not have been adequately captured in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory diseases of the prepuce, improving the accuracy of diagnosis and treatment tracking. N47.7 provides a broader category for conditions that may not have been adequately captured in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory diseases of the prepuce, improving the accuracy of diagnosis and treatment tracking. N47.7 provides a broader category for conditions that may not have been adequately captured in ICD-9.

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 inflammatory diseases of the prepuce?

Common causes include infections (bacterial, fungal), irritants (soaps, chemicals), and systemic conditions (diabetes, autoimmune disorders).

How can I differentiate between N47.7 and other related codes?

N47.7 is used when the inflammatory disease is not specifically classified under other codes like balanitis or posthitis. Detailed documentation is key.