Inflammatory disorders of male genital organs, not elsewhere classified
Chapter 14:Diseases of the genitourinary system
ICD-10 N49 is a used to indicate a diagnosis of inflammatory disorders of male genital organs, not elsewhere classified.
The ICD-10 Level 1 Category code N49 encompasses inflammatory disorders of the male genital organs that are not classified elsewhere. This category includes a variety of conditions such as orchitis, epididymitis, and prostatitis, which may arise from infectious agents, autoimmune responses, or other inflammatory processes. These disorders can lead to significant discomfort, complications, and may affect reproductive health. Clinicians should be aware of the symptoms associated with these conditions, which can include pain, swelling, and dysuria, to ensure timely diagnosis and treatment.
Detailed history and physical examination focusing on genitourinary symptoms, laboratory test results, imaging studies, and treatment plans.
Diagnosis and management of orchitis, epididymitis, and prostatitis, often presenting as acute scrotal pain or dysuria.
Ensure accurate documentation of the inflammatory process and any associated complications to support the use of N49.
Thorough documentation of the patient's medical history, risk factors for infections, and laboratory results including cultures and sensitivities.
Management of infectious etiologies of male genital inflammatory disorders, including sexually transmitted infections.
Consider documenting the specific infectious agent if identified to ensure appropriate coding and treatment.
Rapid assessment of acute symptoms, including pain scales, vital signs, and immediate treatment measures.
Evaluation and management of acute scrotal pain or urinary retention due to inflammatory disorders.
Document the acute nature of symptoms and any immediate interventions performed.
Comprehensive review of patient history, comorbidities, and medication lists, along with examinations and lab results.
Long-term management of chronic prostatitis or related inflammatory disorders, often involving coordination with urology.
Document any chronic symptoms and their impact on quality of life for appropriate coding.
Documentation must include the source of culture and rationale for testing.
Indication for cystoscopy and findings must be well documented.
Document the clinical need for the procedure and any associated conditions.
Complete documentation of the biopsy site, clinical history, and reason for pathology evaluation.
Document the clinical necessity for the ultrasound and the findings.
N49 includes inflammatory disorders such as orchitis, epididymitis, and prostatitis, which may be caused by infections, trauma, or autoimmune conditions.
N49 codes should be used when documenting inflammatory disorders of the male genital organs that do not fit into more specific categories, particularly when the exact nature of the inflammation is unclear.
Documentation should include a detailed clinical history, examination findings, diagnostic tests results, and any treatments administered, ensuring that the inflammatory nature of the condition is clearly established.
