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v1.0.0
ICD-10 Guide
ICD-10 CodesN47.8

N47.8

Billable

Other disorders of prepuce

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

Code Description

ICD-10 N47.8 is a billable code used to indicate a diagnosis of other disorders of prepuce.

Key Diagnostic Point:

N47.8 encompasses a variety of conditions affecting the prepuce (foreskin) that do not fall under more specific categories. These disorders can include conditions such as phimosis, paraphimosis, and other abnormalities that may lead to complications such as infections or inflammation. The prepuce is a sensitive area that can be affected by various factors including hygiene practices, congenital anomalies, and trauma. Disorders of the prepuce can lead to significant discomfort, pain, and may impact sexual function. In some cases, these conditions can also be associated with other male reproductive health issues, such as hydrocele, orchitis, and male infertility. Proper diagnosis and management are crucial, as untreated conditions can lead to further complications. Treatment options may include conservative management, surgical intervention, or referral to a specialist, depending on the severity and nature of the disorder. Understanding the implications of these conditions is essential for effective coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Potential overlap with other genital disorders
  • Need for detailed clinical documentation
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Failure to link diagnosis with treatment provided
  • Misclassification of the disorder
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including patient history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Management of phimosis in pediatric patients, treatment of recurrent infections due to preputial disorders.

Billing Considerations

Ensure documentation reflects the severity of the condition and any associated complications.

Pediatrics

Documentation Requirements

Thorough documentation of developmental milestones and any parental concerns regarding the prepuce.

Common Clinical Scenarios

Evaluation of prepuce in newborns and children, addressing parental concerns about hygiene and potential complications.

Billing Considerations

Consider cultural and familial beliefs regarding circumcision and foreskin management.

Coding Guidelines

Inclusion Criteria

Use N47.8 When
  • According to ICD
  • 10 guidelines, N47
  • 8 should be used when the specific disorder of the prepuce does not fit into more defined categories
  • Coders should ensure that the diagnosis is well
  • documented and supported by clinical findings

Exclusion Criteria

Do NOT use N47.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Circumcision, excision of prepuce

Clinical Scenario

Used when a patient with phimosis requires surgical intervention.

Documentation Requirements

Document the indication for surgery and any preoperative assessments.

Specialty Considerations

Urologists should ensure that all preoperative evaluations are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of preputial disorders, improving the accuracy of diagnoses and treatment plans. N47.8 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 preputial disorders, improving the accuracy of diagnoses and treatment plans. N47.8 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 preputial disorders, improving the accuracy of diagnoses and treatment plans. N47.8 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 conditions are included under N47.8?

N47.8 includes various disorders of the prepuce that do not fit into more specific categories, such as phimosis or paraphimosis. It may encompass conditions like preputial adhesions and infections.

When should I use N47.8 instead of more specific codes?

Use N47.8 when the specific disorder of the prepuce is not clearly defined or when multiple conditions are present that do not fit into a single category.