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ICD-10 Coding for Paraphimosis(N47.2)

Complete ICD-10-CM coding and documentation guide for Paraphimosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Trapped foreskinForeskin entrapment

Related ICD-10 Code Ranges

Complete code families applicable to Paraphimosis

N47-N47.9Primary Range

Disorders of prepuce

This range includes all disorders related to the foreskin, with N47.2 specifically for paraphimosis.

Key Information: ICD-10 code for paraphimosis

Essential facts and insights about Paraphimosis

The ICD-10 code for paraphimosis is N47.2, used when the foreskin is trapped behind the glans.

Primary ICD-10-CM Code for paraphimosis

Paraphimosis
Billable Code

Decision Criteria

clinical Criteria

  • Presence of trapped foreskin behind glans with edema

documentation Criteria

  • Explicit mention of 'paraphimosis' in the clinical note

Applicable To

  • Foreskin trapped behind glans

Excludes

Clinical Validation Requirements

  • Inability to reduce foreskin
  • Edema or erythema of prepuce

Code-Specific Risks

  • Confusion with phimosis (N47.1)

Coding Notes

  • Ensure documentation explicitly states 'paraphimosis' to avoid confusion with phimosis.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Cellulitis of penis

L03.211
Use if there is documented infection or cellulitis associated with paraphimosis.

Gangrene

R02
Use if necrosis or gangrene is documented.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Phimosis

N47.1
Phimosis involves a tight foreskin that cannot be retracted over the glans, unlike paraphimosis where the foreskin is trapped behind the glans.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Paraphimosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N47.2.

Impact

Clinical: Leads to misdiagnosis and incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or incorrect billing.

Mitigation Strategy

Train staff on the importance of detailed documentation., Use templates that prompt for specific details.

Impact

Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: May result in non-compliance with coding standards., Data Quality: Affects the accuracy of medical records and data reporting.

Mitigation Strategy

Ensure documentation specifies 'paraphimosis' and describes the foreskin's position.

Impact

Inaccurate documentation can lead to coding errors and audit issues.

Mitigation Strategy

Implement regular training and audits of clinical documentation.

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 Paraphimosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Paraphimosis

Use these documentation templates to ensure complete and accurate documentation for Paraphimosis. These templates include all required elements for proper coding and billing.

Emergency Department presentation

Specialty: Emergency Medicine

Required Elements

  • History of present illness
  • Physical examination findings
  • Reduction method
  • Post-procedure status

Example Documentation

22yo male presents with painful penile swelling. Exam reveals trapped foreskin behind glans. Manual reduction performed under local anesthesia.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient with penile swelling.
Good Documentation Example
Patient presents with paraphimosis: foreskin trapped behind glans, unable to reduce manually.
Explanation
The good example specifies the condition and clinical findings, aiding accurate coding.

Need help with ICD-10 coding for Paraphimosis? Ask your questions below.

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