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ICD-10 Guide
ICD-10 CodesN49.8

N49.8

Billable

Inflammatory disorders of other specified male genital organs

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

Code Description

ICD-10 N49.8 is a billable code used to indicate a diagnosis of inflammatory disorders of other specified male genital organs.

Key Diagnostic Point:

N49.8 encompasses a variety of inflammatory disorders affecting male genital organs that are not classified under more specific codes. This includes conditions such as hydrocele, which is characterized by the accumulation of fluid in the scrotum, leading to swelling and discomfort. Testicular disorders, including orchitis (inflammation of the testis), can result from infections or autoimmune responses, often presenting with pain and swelling. Male infertility may also be linked to inflammatory processes affecting the reproductive organs, impacting sperm production and quality. Penile disorders, such as balanitis (inflammation of the glans penis), can arise from infections or irritants, causing discomfort and potential complications. Andrological management of these conditions often requires a multidisciplinary approach, including urologists and reproductive specialists, to address both the physical and psychological aspects of male reproductive health. Accurate diagnosis and treatment are crucial, as these inflammatory disorders can significantly affect a man's quality of life and reproductive capabilities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under this code
  • Overlap with other codes related to male genital disorders
  • Need for precise documentation to support the diagnosis
  • Potential for misclassification with similar conditions

Audit Risk Factors

  • Inadequate documentation of the specific inflammatory condition
  • Failure to link symptoms to the diagnosis
  • Misuse of the code for unrelated genital disorders
  • Lack of follow-up documentation for ongoing treatment

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 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.

Common Clinical Scenarios

Evaluation of male infertility linked to inflammatory conditions.

Billing Considerations

Document any psychological assessments or counseling provided to the patient.

Coding Guidelines

Inclusion Criteria

Use N49.8 When
  • According to ICD
  • 10 guidelines, N49
  • 8 should be used when the specific inflammatory disorder does not have a dedicated code
  • Coders must ensure that the documentation supports the diagnosis and that the condition is not better classified under a more specific code

Exclusion Criteria

Do NOT use N49.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Incision and drainage of hydrocele

Clinical Scenario

Used when a hydrocele requires surgical intervention.

Documentation Requirements

Document the size of the hydrocele and any complications.

Specialty Considerations

Urologists should ensure that the indication for surgery is clearly documented.

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. N49.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

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. N49.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

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. N49.8 provides a catch-all for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

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 N49.8?

N49.8 includes various inflammatory disorders of male genital organs that are not specified elsewhere, such as hydrocele, orchitis, and balanitis.

When should I use N49.8 instead of a more specific code?

Use N49.8 when the specific inflammatory condition does not have a dedicated code or when the documentation supports a general inflammatory disorder.