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ICD-10 Coding for Scrotal Edema(N44.6, N50.89)

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

Also known as:

Scrotal SwellingIdiopathic Scrotal Edema

Related ICD-10 Code Ranges

Complete code families applicable to Scrotal Edema

N44-N50Primary Range

Disorders of male genital organs

Includes conditions affecting the male genital organs, such as scrotal edema.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N44.6Scrotal edemaUse for idiopathic or acute scrotal edema without an underlying cause.
  • Bilateral scrotal swelling
  • Normal testicular blood flow on ultrasound
  • Absence of infection or trauma
N50.89Other specified disorders of male genital organsUse when scrotal edema is secondary to another condition or post-surgical.
  • Scrotal edema linked to a systemic condition or post-surgical event

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 idiopathic scrotal edema

Essential facts and insights about Scrotal Edema

The ICD-10 code for idiopathic scrotal edema is N44.6, used when the condition is not linked to any underlying systemic cause.

Primary ICD-10-CM Codes for scrotal edema

Scrotal edema
Non-billable Code

Decision Criteria

clinical Criteria

  • Bilateral scrotal edema with normal ultrasound findings

coding Criteria

  • No underlying systemic condition identified

Applicable To

  • Idiopathic scrotal edema

Excludes

  • Edema due to systemic conditions

Clinical Validation Requirements

  • Bilateral scrotal swelling
  • Normal testicular blood flow on ultrasound
  • Absence of infection or trauma

Code-Specific Risks

  • Misclassification if underlying cause is present

Coding Notes

  • Ensure documentation specifies idiopathic nature and absence of systemic causes.

Ancillary Codes

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

Bacterial and viral infectious agents

B95-B97
Use when infection is confirmed as the cause of edema.

Other complications of procedures, not elsewhere classified

T81.89XA
Use for post-surgical scrotal edema.

Differential Codes

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

Other specified disorders of male genital organs

N50.89
Use when scrotal edema is linked to systemic conditions or post-surgical complications.

Scrotal edema

N44.6
Use for idiopathic cases without systemic involvement.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Scrotal Edema to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N44.6.

Impact

Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Ensure imaging results are documented, Review documentation before submission

Impact

Reimbursement: Incorrect DRG assignment, Compliance: Potential audit risk, Data Quality: Inaccurate clinical data

Mitigation Strategy

Use N50.89 with appropriate additional codes.

Impact

Using N44.6 for conditions with underlying causes

Mitigation Strategy

Educate staff on code differentiation and documentation requirements

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

Documentation Templates for Scrotal Edema

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

Acute Idiopathic Scrotal Edema

Specialty: Urology

Required Elements

  • Patient history
  • Physical examination findings
  • Ultrasound results
  • Assessment and plan

Example Documentation

23M with 6-hour history of painless bilateral scrotal swelling. Ultrasound shows 6mm scrotal wall edema, normal testicular blood flow.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Scrotal swelling noted.
Good Documentation Example
Acute onset bilateral scrotal edema extending to perineum. Ultrasound shows dartos fascia thickening (5 mm) with normal testicular blood flow.
Explanation
The good example provides specific clinical findings and imaging results, supporting the diagnosis.

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

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