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2025 ICD-10-CM code N48.0

Leukoplakia of the penis is a precancerous condition characterized by white patches on the glans or prepuce.

Code N48.0 should only be used when there is clinical evidence of leukoplakia.Differentiation from other conditions like balanitis xerotica obliterans is crucial.Appropriate documentation is essential for accurate coding.

Medical necessity is established by the presence of clinical findings suggestive of leukoplakia of the penis.This may include the presence of abnormal whitish patches on the glans or prepuce, associated symptoms, and results of diagnostic testing such as biopsy.The need for treatment may be supported by the potential risk of malignant transformation.

Urologist or dermatologist.Requires clinical examination, biopsy (if indicated) for definitive diagnosis and management.

IMPORTANT:May be confused with balanitis xerotica obliterans, kraurosis penis.Differentiation requires clinical assessment.

In simple words: Leukoplakia of the penis means you have white patches on the head or the skin covering the head of your penis. These patches might be caused by irritation, infection, or poor hygiene.It's important to see a doctor because these patches can sometimes become cancerous.

Leukoplakia of the penis (N48.0) is a precancerous condition characterized by the presence of abnormal whitish areas on the glans (head) or prepuce (foreskin) of the penis.These patches can be smooth or rough and are a result of hypertrophic and hyperplastic changes in the cells.The condition may be associated with chronic irritation, inflammation, infection, and poor genital hygiene. It's important to note that leukoplakia of the penis can sometimes be confused with other conditions like balanitis xerotica obliterans and kraurosis penis.It requires careful clinical assessment to differentiate and determine the appropriate management plan.Left untreated, leukoplakia can progress to cancerous changes.

Example 1: A 60-year-old male presents with white patches on his glans penis, accompanied by itching and mild discomfort.A physical examination reveals leukoplakia. Biopsy is recommended to rule out malignancy., A 45-year-old male with a history of poor genital hygiene reports noticing white, thickened areas on his foreskin.The physician diagnoses leukoplakia and emphasizes the importance of improved hygiene and regular follow-up appointments for monitoring., A 72-year-old male presents with a long history of inflammation and irritation of his penis.A physical examination reveals lesions consistent with leukoplakia.Given his age and history, further investigations, including a biopsy, are necessary to rule out precancerous or cancerous changes.

Complete history and physical examination including description of lesions, their location, duration, and associated symptoms.Results of any biopsies performed and histopathological analysis.Documentation of the treatment plan and follow-up care.

** Leukoplakia of the penis is a precancerous lesion requiring careful monitoring and potentially further investigation.The clinical picture can sometimes overlap with other penile conditions, hence careful clinical assessment is crucial.Regular follow-up is essential.

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