ICD-10 Coding for Penile Pain(N48.89, G89.29)
Complete ICD-10-CM coding and documentation guide for Penile Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Penile Pain
N48-N49Primary Range
Disorders of the penis
This range includes codes for various disorders of the penis, including pain.
Pain, not elsewhere classified
This range is used for coding pain management encounters, especially for chronic pain.
Abdominal and pelvic pain
This range includes codes for pelvic and perineal pain, which may be used if penile pain is nonspecific or referred.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N48.89 | Other specified disorders of penis | Use when penile pain is due to a specific disorder of the penis. |
|
| G89.29 | Chronic pain, not elsewhere classified | Use when the encounter is primarily for chronic pain management. |
|
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 penile pain
Essential facts and insights about Penile Pain
Primary ICD-10-CM Codes for penile pain
Decision Criteria
clinical Criteria
- Penile pain with identified structural or functional disorder
coding Criteria
- Pain management encounter for chronic penile pain
Applicable To
- Penile pain with documented etiology
Excludes
- Injury of penis (S39.9)
Clinical Validation Requirements
- Documentation of penile pain with specific etiology such as vascular or structural causes
Code-Specific Risks
- Risk of incorrect coding if etiology is not documented
Coding Notes
- Ensure documentation specifies the nature and cause of the penile pain.
G89.29 - Chronic pain, not elsewhere classified
Use when the encounter is primarily for chronic pain management.
Applicable To
- Chronic pain management
Excludes
- Acute pain (G89.1)
Clinical Validation Requirements
- Documentation of chronic pain management plan
Coding Notes
Sequence first if the encounter is for pain management.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Penile Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N48.89.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use detailed pain assessment tools, Regularly update patient records
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N48.89 for specific penile pain unless pain is referred.
Impact
Incorrect sequencing of G89.29 in pain management encounters.
Mitigation Strategy
Train staff on proper sequencing rules.
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 Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Penile Pain
Use these documentation templates to ensure complete and accurate documentation for Penile Pain. These templates include all required elements for proper coding and billing.
Chronic Penile Pain Management
Specialty: UrologyRequired Elements
- Pain location and quality
- Duration and exacerbating factors
- Response to previous treatments
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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