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v1.0.0
ICD-10 Guide
ICD-10 CodesN50.82

N50.82

Billable

Scrotal pain

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

Code Description

ICD-10 N50.82 is a billable code used to indicate a diagnosis of scrotal pain.

Key Diagnostic Point:

Scrotal pain, classified under ICD-10 code N50.82, refers to discomfort or pain localized in the scrotum, which can arise from various underlying conditions affecting the male genital organs. This pain can be acute or chronic and may result from trauma, infections (such as epididymitis or orchitis), torsion of the spermatic cord, or referred pain from other pelvic structures. The scrotum houses the testicles and is crucial for temperature regulation necessary for spermatogenesis. Conditions leading to scrotal pain can also impact sexual health, including erectile dysfunction and ejaculatory disorders, as they may cause psychological distress or physical limitations. Accurate diagnosis often requires a thorough clinical evaluation, including a physical examination, imaging studies, and laboratory tests to identify the underlying cause. Treatment varies based on the etiology and may include antibiotics for infections, surgical intervention for torsion, or pain management strategies. Understanding the multifactorial nature of scrotal pain is essential for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (e.g., infections, trauma, torsion)
  • Need for differential diagnosis to rule out serious conditions
  • Variability in patient presentation and symptomatology
  • Potential for co-existing conditions affecting sexual health

Audit Risk Factors

  • Inadequate documentation of the underlying cause of pain
  • Failure to differentiate between acute and chronic conditions
  • Misuse of related codes that may not accurately reflect the diagnosis
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including history, physical examination findings, and diagnostic tests performed.

Common Clinical Scenarios

Evaluation of acute scrotal pain, management of chronic scrotal discomfort, and assessment of associated sexual dysfunction.

Billing Considerations

Urologists must ensure that all relevant findings are documented to support the diagnosis and any procedures performed.

Primary Care

Documentation Requirements

Comprehensive patient history, including sexual health history and any relevant lifestyle factors.

Common Clinical Scenarios

Initial assessment of scrotal pain, referral to specialists, and management of related conditions like erectile dysfunction.

Billing Considerations

Primary care providers should be aware of the need for timely referrals to urology for conditions that may require surgical intervention.

Coding Guidelines

Inclusion Criteria

Use N50.82 When
  • According to official coding guidelines, N50
  • 82 should be used when scrotal pain is documented without a more specific diagnosis
  • It is important to ensure that the documentation supports the diagnosis and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use N50.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Testicular ultrasound

Clinical Scenario

Used to evaluate scrotal pain and rule out torsion or tumors.

Documentation Requirements

Indicate the reason for the ultrasound and any findings.

Specialty Considerations

Urologists often perform this procedure in conjunction with the evaluation of scrotal pain.

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 scrotal pain, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like scrotal pain, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 scrotal pain?

Common causes include infections like epididymitis, trauma, testicular torsion, and referred pain from other pelvic conditions.

How is scrotal pain diagnosed?

Diagnosis typically involves a detailed history, physical examination, and may include imaging studies such as ultrasound.

What treatments are available for scrotal pain?

Treatment depends on the underlying cause and may include antibiotics for infections, pain management, or surgical intervention for torsion.

Can scrotal pain affect sexual health?

Yes, scrotal pain can lead to psychological distress and may impact erectile function and ejaculatory performance.