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v1.0.0
ICD-10 Guide
ICD-10 CodesN50.811

N50.811

Billable

Right testicular pain

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

Code Description

ICD-10 N50.811 is a billable code used to indicate a diagnosis of right testicular pain.

Key Diagnostic Point:

Right testicular pain refers to discomfort or pain localized to the right testicle, which can arise from various underlying conditions affecting the male genital organs. This pain may be acute or chronic and can be associated with conditions such as epididymitis, testicular torsion, trauma, or referred pain from other abdominal or pelvic disorders. The pain can vary in intensity and may be accompanied by other symptoms such as swelling, redness, or changes in urinary or sexual function. Accurate diagnosis often requires a thorough clinical evaluation, including a physical examination, imaging studies, and laboratory tests to identify the underlying cause. Treatment options depend on the etiology and may include antibiotics for infections, surgical intervention for torsion, or pain management strategies. Understanding the nuances of this condition is crucial for effective management and coding, as it can significantly impact a patient's quality of life and sexual health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differential diagnosis may include multiple conditions with similar presentations.
  • Requires detailed documentation of symptoms and clinical findings.
  • Potential for co-existing conditions affecting coding accuracy.
  • Variability in treatment approaches based on underlying causes.

Audit Risk Factors

  • Inadequate documentation of the clinical findings.
  • Failure to specify the underlying cause of pain.
  • Misclassification of pain as acute or chronic without justification.
  • Lack of supporting diagnostic tests in the medical record.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of acute scrotal pain, follow-up of chronic testicular pain, and management of testicular masses.

Billing Considerations

Urologists must document the onset, duration, and character of pain, as well as any associated symptoms.

Primary Care

Documentation Requirements

Comprehensive history and physical examination, including sexual health history.

Common Clinical Scenarios

Initial evaluation of testicular pain, referrals to specialists, and management of sexually transmitted infections.

Billing Considerations

Primary care providers should assess for psychosocial factors that may contribute to sexual health issues.

Coding Guidelines

Inclusion Criteria

Use N50.811 When
  • According to ICD
  • 10 coding guidelines, N50
  • 811 should be used when the primary diagnosis is right testicular pain without a specified underlying condition
  • If a specific cause is identified, additional codes may be required to capture the complete clinical picture

Exclusion Criteria

Do NOT use N50.811 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Testicular ultrasound

Clinical Scenario

Used to evaluate the cause of testicular pain.

Documentation Requirements

Indication for ultrasound must be clearly documented.

Specialty Considerations

Urologists may perform this procedure in conjunction with a physical examination.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like right testicular pain, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology of male genital disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like right testicular pain, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the epidemiology of male genital disorders.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the epidemiology of male genital disorders.

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 right testicular pain?

Common causes include epididymitis, testicular torsion, trauma, and referred pain from other abdominal conditions. A thorough evaluation is necessary to determine the underlying cause.