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2025 ICD-10-CM code N48.2

Other inflammatory disorders of the penis, excluding specific conditions like balanitis.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on code selection and usage.Appropriate code selection depends on the specific clinical scenario and proper documentation.

Medical necessity for coding N48.2 is established by documentation of penile inflammation not otherwise specified.This requires a clinical evaluation to rule out other specific penile conditions.Treatment plans must be documented to support medical necessity.

Urologist or other qualified healthcare professional.

IMPORTANT:N48.21 Abscess of corpus cavernosum and penis is a more specific code that may be used if applicable.Codes B95-B97 should be used to specify an infectious agent if identified.

In simple words: This code describes inflammation of the penis that isn't caused by a specific condition like balanitis.The inflammation might affect the skin or the inside of the penis, and sometimes a pus-filled pocket can form. This inflammation can be caused by an infection.

N48.2, Other inflammatory disorders of the penis, encompasses inflammatory conditions of the penis not otherwise specified.This includes inflammation of the penile skin, erectile tissue (corpus cavernosum), or the presence of a penile abscess.It excludes specific inflammatory conditions such as balanitis (N48.1), balanitis xerotica obliterans (N48.0), and balanoposthitis (N47.6).An additional code (B95-B97) should be used to identify any infectious agent if applicable.

Example 1: A 35-year-old male presents with pain, swelling, and redness on the shaft of his penis.Physical examination reveals inflammation without a specific infectious agent identified.N48.2 is assigned., A 40-year-old male has a palpable abscess on his penis.After incision and drainage, N48.21 (Abscess of corpus cavernosum and penis) is coded in addition to N48.2., A 28-year-old male with a history of recurrent urinary tract infections presents with penile inflammation.Cultures reveal *E. coli*.N48.2 is coded along with a code from the infectious disease category (B95-B97) to specify the infection.

Complete history and physical examination documenting the penile inflammation.Specify the location and extent of inflammation. If an infectious agent is identified, include laboratory results confirming the diagnosis.If an abscess is present, document the location, size, and treatment rendered. Imaging studies (e.g., ultrasound) may be necessary.

** Always cross-reference with other relevant codes to accurately reflect the patient's condition.Use additional codes to identify any infectious agent or complications.

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