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ICD-10 Guide
ICD-10 CodesN49.2

N49.2

Billable

Inflammatory disorders of scrotum

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

Code Description

ICD-10 N49.2 is a billable code used to indicate a diagnosis of inflammatory disorders of scrotum.

Key Diagnostic Point:

Inflammatory disorders of the scrotum encompass a range of conditions that can affect the male reproductive system, particularly the scrotum and its contents, including the testes. Common conditions include hydrocele, orchitis, and various testicular disorders. Hydrocele is characterized by the accumulation of fluid in the scrotal sac, often resulting from inflammation or injury. Orchitis refers to inflammation of the testes, which can be caused by infections, such as viral or bacterial pathogens, and may lead to complications like infertility if not treated promptly. Male infertility can be linked to inflammatory conditions affecting sperm production or transport. Additionally, penile disorders may coexist with scrotal inflammation, complicating the clinical picture. Effective andrological management requires a thorough understanding of these conditions, including their etiology, symptoms, and potential complications. Accurate diagnosis often involves imaging studies and laboratory tests, while treatment may range from conservative management to surgical intervention, depending on the severity and underlying cause of the inflammation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (infectious, non-infectious)
  • Overlap with other urological conditions
  • Need for detailed clinical documentation
  • Potential for complications affecting fertility

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to specify the type of inflammatory disorder
  • Misclassification of related conditions
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with scrotal swelling, pain, or infertility.

Billing Considerations

Ensure clear differentiation between inflammatory and non-inflammatory conditions.

Andrology

Documentation Requirements

Comprehensive assessment of male reproductive health, including hormonal evaluations.

Common Clinical Scenarios

Men seeking evaluation for infertility or sexual dysfunction.

Billing Considerations

Document any hormonal treatments or assisted reproductive technologies used.

Coding Guidelines

Inclusion Criteria

Use N49.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the specific inflammatory disorder
  • Include any relevant symptoms, diagnostic tests, and treatment plans

Exclusion Criteria

Do NOT use N49.2 When
  • Exclude conditions that do not specifically relate to inflammatory disorders of the scrotum

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Drainage of hydrocele

Clinical Scenario

Used when a hydrocele requires surgical intervention.

Documentation Requirements

Document the size of the hydrocele and any symptoms.

Specialty Considerations

Urologists should ensure clear documentation of the indication for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders, improving the accuracy of diagnoses and treatment plans. N49.2 provides a clear classification for scrotal inflammation, facilitating better patient management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders, improving the accuracy of diagnoses and treatment plans. N49.2 provides a clear classification for scrotal inflammation, facilitating better patient management and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of inflammatory disorders, improving the accuracy of diagnoses and treatment plans. N49.2 provides a clear classification for scrotal inflammation, facilitating better patient management and research.

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 disorders of the scrotum?

Common causes include infections (viral, bacterial), trauma, and autoimmune conditions. Hydrocele and orchitis are frequently encountered inflammatory disorders.