ICD-10 Coding for Scrotal Pain(N50.82, N50.811, N50.812)
Complete ICD-10-CM coding and documentation guide for Scrotal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Scrotal Pain
N50.8-N50.89Primary Range
Other specified disorders of male genital organs
This range includes specific codes for scrotal and testicular pain, which are essential for accurate diagnosis and billing.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N50.82 | Scrotal pain | Use when pain is localized to the scrotal skin/sac without testicular involvement. |
|
| N50.811 | Right testicular pain | Use when pain is localized to the right testis. |
|
| N50.812 | Left testicular pain | Use when pain is localized to the left 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 scrotal pain
Essential facts and insights about Scrotal Pain
Primary ICD-10-CM Codes for scrotal pain
Decision Criteria
clinical Criteria
- Pain localized to scrotal wall without testicular involvement.
coding Criteria
- Use N50.82 for scrotal pain without testicular involvement.
Clinical Validation Requirements
- Doppler ultrasound ruling out torsion
- Urinalysis showing <5 WBCs
Code-Specific Risks
- Risk of incorrect coding if testicular involvement is present.
Coding Notes
- Ensure documentation specifies scrotal vs. testicular pain to avoid miscoding.
N50.811 - Right testicular pain
Use when pain is localized to the right testis.
Applicable To
- Pain localized to right testis
Excludes
- Scrotal pain (N50.82)
Clinical Validation Requirements
- Tenderness on testicular palpation
- Positive Prehn's sign
Coding Notes
Ensure laterality is documented to avoid miscoding.
N50.812 - Left testicular pain
Use when pain is localized to the left testis.
Applicable To
- Pain localized to left testis
Excludes
- Scrotal pain (N50.82)
Clinical Validation Requirements
- Tenderness on testicular palpation
- Positive Prehn's sign
Coding Notes
Ensure laterality is documented to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain
G89.21Differential 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 Scrotal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N50.82.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always document laterality when testicular pain is present., Use checklists to ensure complete documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data collection and reporting.
Mitigation Strategy
Use N50.82 for scrotal pain to ensure accurate coding.
Impact
Lack of specific documentation can lead to audit failures.
Mitigation Strategy
Use detailed templates and checklists to ensure complete 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 Scrotal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Scrotal Pain
Use these documentation templates to ensure complete and accurate documentation for Scrotal Pain. These templates include all required elements for proper coding and billing.
Chronic Scrotal Pain
Specialty: UrologyRequired Elements
- Onset and duration of pain
- Location and radiation
- Aggravating and relieving factors
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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