2025 ICD-10-CM code N45
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases - Diseases of male genital organs Diseases of the genitourinary system Feed
Orchitis and epididymitis.An additional code should be used to specify the infectious agent if applicable.
Medical necessity for diagnosis and treatment of orchitis and epididymitis is established by the presence of symptoms and signs suggestive of infection, confirmed by physical examination and/or diagnostic testing.Treatment is typically indicated to relieve symptoms, prevent complications (e.g., infertility, abscess formation), and to prevent the spread of infection.
Diagnosis and management of orchitis and epididymitis, including assessment of symptoms, physical examination, diagnostic testing (e.g., ultrasound, urinalysis, cultures), and treatment (e.g., antibiotics, pain management, supportive care).
In simple words: This code is for inflammation of the testicles (orchitis) and/or the tube that carries sperm (epididymitis).It can be painful and cause swelling in the scrotum.The doctor may need to use another code to explain what caused the infection.
N45 in the ICD-10-CM classification system represents Orchitis and epididymitis.Orchitis is inflammation of one or both testicles, while epididymitis is inflammation of the epididymis, the tube that sits on top of the testicle and stores and carries sperm.Epididymo-orchitis refers to inflammation affecting both the epididymis and the testicle.This code may be used for cases with or without abscess formation.An additional code from categories B95-B97 should be added to specify the infectious agent (bacterial, viral, or other) if known.
Example 1: A 25-year-old male presents with acute scrotal pain, swelling, and tenderness.Physical examination reveals erythema and warmth of the right scrotum.Ultrasound confirms epididymitis.N45 is assigned, along with a code for the causative organism (e.g., Chlamydia trachomatis) if identified through culture., A 30-year-old male presents with bilateral scrotal pain and swelling after a urinary tract infection (UTI).His symptoms started with discomfort in the groin area which progressed to pain and swelling in his testes and epididymis. Physical examination reveals bilateral tenderness and swelling. Urinalysis shows pyuria, and a culture identifies Escherichia coli.N45 is assigned, along with codes for UTI and the identified organism., A 40-year-old male with a history of prostatitis presents with left scrotal pain, swelling, and a palpable mass. Ultrasound reveals an abscess in the epididymis.N45.0 (Orchitis, epididymitis and epididymo-orchitis with abscess) is assigned, along with additional codes for the infection and abscess management.
Detailed history including onset, duration, and character of symptoms; physical examination findings, including scrotal examination; relevant laboratory results (e.g., urinalysis, cultures, blood tests); imaging studies (e.g., ultrasound); and treatment provided.
** This code should not be used for orchitis and epididymitis related to a condition originating in the perinatal period.Always clarify the presence or absence of an abscess for correct coding.
- Payment Status: Active
- Specialties:Urology, Infectious Disease
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Urgent Care Facility