ICD-10 Coding for Testicular Pain(N50.811, N50.812, N50.819)
Complete ICD-10-CM coding and documentation guide for Testicular Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicular Pain
N50.8-N50.9Primary Range
Other specified disorders of male genital organs
This range includes codes for testicular pain and related conditions.
Torsion of testis and related conditions
This range includes specific conditions like testicular torsion, which can cause testicular pain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N50.811 | Right testicular pain | Use when the pain is localized to the right testicle and no other specific condition is identified. |
|
| N50.812 | Left testicular pain | Use when the pain is localized to the left testicle and no other specific condition is identified. |
|
| N50.819 | Testicular pain, unspecified | Use when testicular pain is documented but laterality or specific cause is not identified. |
|
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 right testicular pain
Essential facts and insights about Testicular Pain
Primary ICD-10-CM Codes for testicular pain
Decision Criteria
clinical Criteria
- Pain localized to the right testicle with no other specific diagnosis
Applicable To
- Pain localized to the right testicle
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Physical exam showing right testicular tenderness
- Ultrasound confirming normal blood flow
Code-Specific Risks
- Incorrect use if laterality is not documented
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
N50.812 - Left testicular pain
Use when the pain is localized to the left testicle and no other specific condition is identified.
Applicable To
- Pain localized to the left testicle
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Physical exam showing left testicular tenderness
- Ultrasound confirming normal blood flow
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
N50.819 - Testicular pain, unspecified
Use when testicular pain is documented but laterality or specific cause is not identified.
Applicable To
- Testicular pain not otherwise specified
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Generalized testicular pain without specific laterality or cause
Coding Notes
Avoid using unspecified codes when laterality is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pelvic and perineal pain
R10.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Torsion of testis
N44.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testicular Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N50.811.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims or reduced reimbursement
Mitigation Strategy
Always ask and document which side is affected, Use templates that prompt for laterality
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of health records
Mitigation Strategy
Ensure documentation specifies laterality to use N50.811 or N50.812
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement documentation templates that require laterality.
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 Testicular Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicular Pain
Use these documentation templates to ensure complete and accurate documentation for Testicular Pain. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Acute Testicular Pain
Specialty: Emergency MedicineRequired Elements
- Onset and duration of pain
- Laterality
- Associated symptoms (e.g., nausea, fever)
- Physical exam findings
- Ultrasound results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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