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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN48

N48

Billable

Other disorders of penis

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N48 is a billable code used to indicate a diagnosis of other disorders of penis.

Key Diagnostic Point:

N48 encompasses a variety of conditions affecting the penis that do not fall under more specific categories. This includes disorders such as hydrocele, which is the accumulation of fluid around the testicle, leading to swelling and discomfort. Testicular disorders like torsion or tumors may also be relevant, as they can impact penile function and fertility. Orchitis, an inflammation of the testes, can result from infections and may lead to complications such as infertility. Male infertility can stem from various factors, including hormonal imbalances, anatomical issues, or genetic conditions. Additionally, penile disorders such as Peyronie's disease, which involves the development of fibrous scar tissue, can cause painful erections and curvature of the penis. Andrological management is crucial for addressing these conditions, often requiring a multidisciplinary approach involving urologists, endocrinologists, and fertility specialists to ensure comprehensive care and treatment options.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation to differentiate between disorders
  • Potential overlap with other codes (e.g., N40 for benign prostatic hyperplasia)
  • Variability in clinical presentation and treatment options

Audit Risk Factors

  • Inadequate documentation of specific penile disorders
  • Misuse of N48 when a more specific code is applicable
  • Failure to document associated conditions like infertility
  • Lack of clarity in patient history regarding symptoms

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of patients with penile pain, swelling, or infertility concerns.

Billing Considerations

Ensure to document the specific type of disorder and any associated symptoms to support the use of N48.

Andrology

Documentation Requirements

Comprehensive assessment of male reproductive health, including hormonal evaluations and semen analysis.

Common Clinical Scenarios

Management of male infertility cases and penile deformities.

Billing Considerations

Document all relevant tests and treatments to justify the use of N48.

Coding Guidelines

Inclusion Criteria

Use N48 When
  • According to ICD
  • 10 guidelines, N48 should be used when the specific disorder of the penis does not have a more precise code
  • Coders must ensure that the documentation supports the diagnosis and that any related conditions are also coded appropriately

Exclusion Criteria

Do NOT use N48 When
No specific exclusions found.

Related CPT Codes

54530CPT Code

Orchidopexy

Clinical Scenario

Used in cases of testicular torsion or undescended testis.

Documentation Requirements

Document the indication for surgery and any pre-operative assessments.

Specialty Considerations

Urologists should ensure all relevant findings are included in the operative report.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of penile disorders, improving the accuracy of diagnoses and treatment plans. N48 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 penile disorders, improving the accuracy of diagnoses and treatment plans. N48 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 penile disorders, improving the accuracy of diagnoses and treatment plans. N48 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 N48?

N48 includes various disorders of the penis such as hydrocele, orchitis, and other penile disorders that do not have a more specific code.