2025 ICD-10-CM code N48
(Active) Effective Date: N/A Diseases of the genitourinary system - Diseases of male genital organs Diseases of the genitourinary system (N00-N99) Feed
Other disorders of penis.
Medical necessity for treatment should be clearly documented, linking the condition to functional impairment, pain, or risk of complications. This justification should align with established medical guidelines and payer policies.
Diagnosis and treatment are typically managed by urologists or other specialists dealing with male reproductive health.Clinical responsibility includes proper evaluation, diagnosis, and appropriate management, which may involve medical or surgical interventions.
In simple words: This code refers to other penile problems not categorized elsewhere.
This code encompasses various disorders of the penis not classified elsewhere, including inflammatory conditions, priapism, and other specified disorders.
Example 1: A patient presents with persistent penile pain and swelling not associated with trauma or infection. After ruling out other conditions, the physician diagnoses the patient with N48.8, other specified disorder of penis., A patient experiences prolonged erection lasting more than four hours, which is not related to sexual stimulation. The condition is diagnosed as N48.3, priapism, and requires urgent medical intervention to prevent long-term complications. , A patient develops inflammation of the penis, which is determined to be non-infectious after laboratory tests. The diagnosis of N48.2, other inflammatory disorders of penis, guides treatment.
Thorough documentation is essential for accurate coding. This should include detailed clinical findings from physical examination, imaging studies (if performed), laboratory results, and the physician's diagnostic impressions. Documentation must support the medical necessity of any procedures or treatments. If the cause of penile problems is infectious, the infectious agent must be documented with an additional code, such as (B95-B97).
- Specialties:Urology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital