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2025 ICD-10-CM code N50.89

Other specified disorders of the male genital organs. This includes conditions such as atrophy, edema, hypertrophy, stricture, or ulceration of the scrotum, seminal vesicle, spermatic cord, tunica vaginalis, or vas deferens, as well as chylocele of the tunica vaginalis and urethroscrotal fistula.

The Excludes2 note for N50 indicates that torsion of testis (N44.0-) should not be coded with N50.89. The correct code for torsion of testis should be selected based on the laterality (right, left, or unspecified).

The medical necessity for the encounter related to N50.89 should be supported by the documentation of the signs, symptoms, and diagnostic findings associated with the specific disorder. The documentation should also justify the need for any treatment or intervention provided.

In simple words: This code represents other specific problems related to the male genital organs not covered by other codes, including shrinkage, swelling, enlargement, narrowing, or sores.

This code encompasses various specific disorders affecting the male genitalia that are not classified elsewhere. These include:* Atrophy of the scrotum, seminal vesicle, spermatic cord, tunica vaginalis, and vas deferens* Chylocele of the tunica vaginalis (nonfilarial)* Edema of the scrotum, seminal vesicle, spermatic cord, tunica vaginalis, and vas deferens* Hypertrophy of the scrotum, seminal vesicle, spermatic cord, tunica vaginalis, and vas deferens* Stricture of the spermatic cord, tunica vaginalis, and vas deferens* Ulcer of the scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis, and vas deferens* Urethroscrotal fistula

Example 1: A patient presents with pain and swelling in the scrotum. Upon examination, the physician diagnoses edema of the spermatic cord and tunica vaginalis. N50.89 is used to code this condition., A patient is found to have a nonfilarial chylocele of the tunica vaginalis during a routine physical examination. N50.89 is the appropriate code for this diagnosis., A patient experiences difficulty with urination and is diagnosed with a urethroscrotal fistula. This condition is coded using N50.89.

Documentation should clearly specify the affected anatomical structure(s) and the nature of the disorder (e.g., atrophy, edema, hypertrophy, stricture, ulceration).In the case of chylocele, the nonfilarial nature should be documented.For urethroscrotal fistula, the documentation should confirm the presence of an abnormal connection between the urethra and scrotum.

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