ICD-10 Coding for Enlarged Testicle(N50.811, D29.21)
Complete ICD-10-CM coding and documentation guide for Enlarged Testicle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Enlarged Testicle
N50-N51Primary Range
Diseases of male genital organs
This range includes codes for various conditions affecting the male genital organs, including testicular enlargement.
Neoplasms of male genital organs
This range includes codes for benign and malignant neoplasms that may cause testicular enlargement.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N50.811 | Right testicular pain | Use when the patient presents with pain in the right testicle without a confirmed mass. |
|
| D29.21 | Benign neoplasm of right testis | Use when a benign mass is confirmed in the right testis. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for enlarged testicle
Essential facts and insights about Enlarged Testicle
Primary ICD-10-CM Codes for enlarged testicle
Decision Criteria
clinical Criteria
- Presence of pain in the right testicle without mass
Applicable To
- Pain in right testicle
Excludes
- Testicular torsion (N44.00)
Clinical Validation Requirements
- Physical exam showing pain localized to the right testis
- Ultrasound confirming no mass
Code-Specific Risks
- Risk of misdiagnosis if not confirmed by ultrasound
Coding Notes
- Ensure documentation specifies laterality and confirms absence of mass.
D29.21 - Benign neoplasm of right testis
Use when a benign mass is confirmed in the right testis.
Applicable To
- Benign tumor of right testicle
Excludes
- Malignant neoplasm of testis (C62.1)
Clinical Validation Requirements
- Ultrasound showing solid mass with smooth margins
- No elevation in tumor markers
Coding Notes
Ensure imaging and lab results are documented to support benign diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Enlarged Testicle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N50.811.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure all imaging results are included in the patient's record., Cross-check documentation before finalizing the diagnosis.
Impact
Reimbursement: May lead to incorrect billing and potential denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always confirm with ultrasound before coding for pain alone.
Impact
Failure to specify laterality can lead to audit issues.
Mitigation Strategy
Implement a checklist to ensure laterality is documented in all cases.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Enlarged Testicle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Enlarged Testicle
Use these documentation templates to ensure complete and accurate documentation for Enlarged Testicle. These templates include all required elements for proper coding and billing.
Urology H&P for Testicular Mass
Specialty: UrologyRequired Elements
- Patient history
- Physical exam findings
- Imaging results
- Laboratory tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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