ICD-10 Coding for Penile Adhesion(N47.5)
Complete ICD-10-CM coding and documentation guide for Penile Adhesion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Penile Adhesion
N47-N48Primary Range
Disorders of prepuce
This range includes conditions related to the prepuce, including adhesions and other inflammatory diseases.
Key Information: ICD-10 code for penile adhesions
Essential facts and insights about Penile Adhesion
Primary ICD-10-CM Code for penile adhesion
Decision Criteria
clinical Criteria
- Presence of skin bridges or smegma accumulation
documentation Criteria
- Explicit mention of 'post-circumcision adhesions'
Applicable To
- Post-circumcision adhesions
Excludes
- Phimosis (N47.1)
Clinical Validation Requirements
- Presence of skin bridges
- Adherent prepuce
- Smegma accumulation
Code-Specific Risks
- Confusion with phimosis (N47.1)
Coding Notes
- Ensure documentation specifies 'post-circumcision' to avoid confusion with other preputial conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other inflammatory diseases of prepuce
N47.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Penile Adhesion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N47.5.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'post-circumcision adhesions'., Detail the procedure and anesthesia.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify if adhesions are present and specify post-circumcision in documentation.
Impact
Claims for 54162 may be denied if anesthesia is not documented.
Mitigation Strategy
Ensure all procedures include detailed anesthesia 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 Penile Adhesion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Penile Adhesion
Use these documentation templates to ensure complete and accurate documentation for Penile Adhesion. These templates include all required elements for proper coding and billing.
Post-Circumcision Adhesions Requiring Surgical Intervention
Specialty: UrologyRequired Elements
- Patient history
- Physical exam findings
- Procedure details
- Anesthesia type
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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