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ICD-10 Guide
ICD-10 CodesN48.89

N48.89

Billable

Other specified disorders of penis

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

Code Description

ICD-10 N48.89 is a billable code used to indicate a diagnosis of other specified disorders of penis.

Key Diagnostic Point:

N48.89 encompasses a variety of penile disorders that do not fall under more specific categories. This includes conditions such as hydrocele, which is the accumulation of fluid around the testicle, leading to swelling and discomfort. Testicular disorders may include conditions like testicular torsion or varicocele, which can affect fertility. Orchitis, an inflammation of the testis, can result from infections or autoimmune conditions, often presenting with pain and swelling. Male infertility can stem from various factors, including hormonal imbalances, genetic issues, or anatomical abnormalities. Penile disorders may include conditions like Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, causing curved erections and pain. Andrological management of these conditions often requires a multidisciplinary approach, including urologists, endocrinologists, and fertility specialists, 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 included under the code
  • Need for precise documentation to differentiate between disorders
  • Potential overlap with other codes (e.g., N48.81 for Peyronie's disease)
  • Variability in clinical presentation and management

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Failure to link the diagnosis to the treatment provided
  • Misuse of the code due to overlapping symptoms with other conditions
  • Lack of clarity on the patient's history and presenting symptoms

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with scrotal swelling, pain, or infertility issues.

Billing Considerations

Ensure that all relevant diagnostic tests (e.g., ultrasound) are documented to support the diagnosis.

Andrology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of male infertility, erectile dysfunction, or penile deformities.

Billing Considerations

Document any multidisciplinary consultations and treatment plans to provide a complete picture of the patient's condition.

Coding Guidelines

Inclusion Criteria

Use N48.89 When
  • According to ICD
  • 10 guidelines, N48
  • 89 should be used when the specific disorder of the penis is not classified elsewhere
  • Coders must ensure that the documentation supports the use of this code and that it is not used inappropriately for conditions that have more specific codes

Exclusion Criteria

Do NOT use N48.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54530CPT Code

Surgical treatment of hydrocele

Clinical Scenario

Used when a patient with a hydrocele requires surgical intervention.

Documentation Requirements

Operative reports and pre-operative evaluations must be documented.

Specialty Considerations

Urologists should ensure that the diagnosis is clearly linked to the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of penile disorders, enabling better tracking of conditions and outcomes. N48.89 provides flexibility for coders but requires careful documentation to ensure accurate representation of the patient's condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of penile disorders, enabling better tracking of conditions and outcomes. N48.89 provides flexibility for coders but requires careful documentation to ensure accurate representation of the patient's condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of penile disorders, enabling better tracking of conditions and outcomes. N48.89 provides flexibility for coders but requires careful documentation to ensure accurate representation of the patient's condition.

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 N48.89?

N48.89 includes various unspecified disorders of the penis, such as hydrocele, orchitis, and other penile disorders that do not have a more specific code.