N50.89

Exclusions9never code together

N50code

Excludes2

torsion of testis (N44.0-)N44.0-

N00-N99chapter

Excludes2

certain conditions originating in the perinatal period (P04-P96)P04-P96
certain infectious and parasitic diseases (A00-B99)A00-B99
complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
neoplasms (C00-D49)C00-D49
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes7

N50.89code

Inclusion terms

Atrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
Chylocele, tunica vaginalis (nonfilarial) NOS
Edema of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
Hypertrophy of scrotum, seminal vesicle, spermatic cord, tunica vaginalis and vas deferens
Stricture of spermatic cord, tunica vaginalis, and vas deferens
Ulcer of scrotum, seminal vesicle, spermatic cord, testis, tunica vaginalis and vas deferens
Urethroscrotal fistula

Official Guidelines3

ICD-10-CM Official Guidelines for Coding and Reporting, quoted in full. Published by CMS and NCHS; in the public domain.

I.C.14.a.1 Stages of chronic kidney disease (CKD) chapter guidance p.62

The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages 1-5. Stage 2, code N18.2, equates to mild CKD; stage 3, codes N18.30-N18.32, equate to moderate CKD; and stage 4, code N18.4, equates to severe CKD. Code N18.6, End stage renal disease (ESRD), is assigned when the provider has documented end- stage renal disease (ESRD). If both a stage of CKD and ESRD are documented, assign code N18.6 only.

I.C.14.a.2 Chronic kidney disease and kidney transplant status chapter guidance p.62

Patients who have undergone kidney transplant may still have some form of chronic kidney disease (CKD) because the kidney transplant may not fully restore kidney function. Therefore, the presence of CKD alone does not constitute a transplant complication. Assign the appropriate N18 code for the patient’s stage of CKD and code Z94.0, Kidney transplant status. If a transplant complication such as failure or rejection or other transplant complication is documented, see section I.C.19.g for information on coding complications of a kidney transplant. If the documentation is unclear as to whether the patient has a complication of the transplant, query the provider.

I.C.14.a.3 Chronic kidney disease with other conditions chapter guidance p.63

Patients with CKD may also suffer from other serious conditions, most commonly diabetes mellitus and hypertension. The sequencing of the CKD code in relationship to codes for other contributing conditions is based on the conventions in the Tabular List. See I.C.9. Hypertensive chronic kidney disease. See I.C.19. Chronic kidney disease and kidney transplant complications.

Index entries leading here33

Deformity Q89.9
- genitalia, genital organ (s) or system NEC
  - male (congenital) Q55.9
    - acquired N50.89
- vas deferens (congenital) Q55.4
  - acquired N50.89
- spermatic cord (congenital) Q55.4
  - acquired N50.89
- seminal vesicles (congenital) Q55.4
  - acquired N50.89
- scrotum (congenital) — see also Malformation, testis and scrotum
  - acquired N50.89
- ejaculatory duct (congenital) Q55.4
  - acquired N50.89
- epididymis (congenital) Q55.4
  - acquired N50.89
Adhesions, adhesive (postinfective) K66.0
- epididymis N50.89
- perivesicular (seminal vesicle) N50.89
- seminal vesicle N50.89
- spermatic cord (acquired) N50.89
Aphthae, aphthous — see also condition
- ulcer (oral) (recurrent) K12.0
  - genital organ (s) NEC
    - male N50.89
Ulcer, ulcerated, ulcerating, ulceration, ulcerative
- aphthous (oral) (recurrent) K12.0
  - genital organ (s)
    - male N50.89
- scrotum N50.89
- seminal vesicle N50.89
- spermatic cord N50.89
- testis N50.89
- tunica vaginalis N50.89
- vas deferens N50.89
Atrophy, atrophic (of)
- seminal vesicle N50.89
- spermatic cord N50.89
- tunica vaginalis N50.89
- vas deferens N50.89
- epididymis N50.89
- scrotum N50.89
Calculus, calculi, calculous
- tunica vaginalis N50.89
- epididymis N50.89
- seminal vesicle N50.89
Chylocele (nonfilarial) I89.8
- tunica vaginalis N50.89
Cicatrix (adherent) (contracted) (painful) (vicious) L90.5
- seminal vesicle N50.89
Climacteric (female) — see also Menopause
- male (symptoms) (syndrome) NEC N50.89
Concretion — see also Calculus
- seminal vesicle N50.89
Cyst (colloid) (mucous) (simple) (retention)
- spermatic cord N50.89
- seminal vesicle N50.89
- tunica
  - vaginalis N50.89
- skin L72.9
  - genital organ NEC
    - male N50.89
- sebaceous (duct) (gland) L72.3
  - genital organ NEC
    - male N50.89
Distension, distention
- seminal vesicle N50.89
Diverticulum, diverticula (multiple) K57.90
- seminal vesicle N50.89
Edema, edematous (infectious) (pitting) (toxic) R60.9
- tunica vaginalis N50.89
- scrotum N50.89
- seminal vesicle N50.89
- spermatic cord N50.89
- vas deferens N50.89
Obstruction, obstructed, obstructive
- ejaculatory duct N50.89
Stricture — see also Stenosis
- ejaculatory duct N50.89
- spermatic cord N50.89
- vas deferens N50.89
- tunica vaginalis N50.89
Fibrosis, fibrotic
- ejaculatory duct N50.89
- epididymis N50.89
- vas deferens N50.89
- intrascrotal N50.89
- scrotum N50.89
- seminal vesicle N50.89
- spermatic cord N50.89
- tunica vaginalis N50.89
Stenosis, stenotic (cicatricial) — see also Stricture
- ejaculatory duct NEC N50.89
Hypertrophy, hypertrophic
- epididymis N50.89
- tunica vaginalis N50.89
- scrotum N50.89
- seminal vesicle N50.89
- spermatic cord N50.89
- vas deferens N50.89
Fistula (cutaneous) L98.8
- epididymis N50.89
- scrotum (urinary) N50.89
- urethroscrotal N50.89
Sclerosis, sclerotic
- funicular (spermatic cord) N50.89
Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) I96
- scrotum N49.3
  - noninfective N50.89
- tunica vaginalis N49.1
  - noninfective N50.89
- spermatic cord N49.1
  - noninfective N50.89
- vas deferens N49.1
  - noninfective N50.89
Hyperplasia, hyperplastic
- genital
  - male N50.89
Pain (s) R52
- genital organ
  - male N50.89
- spermatic cord N50.89
- seminal vesicle N50.89
Keratosis L57.0
- scrotal N50.89
- male genital (external) N50.89
Malassez's disease (cystic) N50.89
Necrosis, necrotic (ischemic) — see also Gangrene
- scrotum N50.89
- testis N50.89
Redundant, redundancy
- scrotum N50.89
Relaxation
- scrotum N50.89
Swelling (of) R60.9
- scrotum N50.89
- testis N50.89
Sloughing (multiple) (phagedena) (skin) — see also Gangrene
- scrotum N50.89
Sinus — see also Fistula
- testis N50.89
Spermatorrhea N50.89

Alongside this code2same parent — N50.8

N50.81 Testicular pain category N50.82 Scrotal pain

Additional references

AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

This code