2021

  1. ICD-10-CM Codes
    2. ›
  2. N00-N99 Diseases of the genitourinary system
    3. ›
  3. N40-N53 Diseases of male genital organs
    4. ›
  4. N48- Other disorders of penis
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code N48.1

2021 ICD-10-CM Diagnosis Code N48.1

Balanitis

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx
  • N48.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM N48.1 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of N48.1 - other international versions of ICD-10 N48.1 may differ.
ICD-10-CM Coding Rules
  • N48.1 is applicable to male patients.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (B95-B97
    ICD-10-CM Range B95-B97

    Bacterial and viral infectious agents

    Note
    • These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.
    • B95 Streptococcus, Staphylococcus, and Enter...
    • B96 Other bacterial agents as the cause of d...
    • B97 Viral agents as the cause of diseases cl...
    ), to identify infectious agent
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as N48.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • amebic balanitis (
    ICD-10-CM Diagnosis Code A06.8

    Amebic infection of other sites

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    A06.8
    )
  • balanitis xerotica obliterans (
    ICD-10-CM Diagnosis Code N48.0

    Leukoplakia of penis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx
    Applicable To
    • Balanitis xerotica obliterans
    • Kraurosis of penis
    • Lichen sclerosus of external male genital organs
    Type 1 Excludes
    • carcinoma in situ of penis (D07.4)
    N48.0
    )
  • candidal balanitis (
    ICD-10-CM Diagnosis Code B37.42

    Candidal balanitis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx
    B37.42
    )
  • gonococcal balanitis (
    ICD-10-CM Diagnosis Code A54.23

    Gonococcal infection of other male genital organs

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx
    Applicable To
    • Gonococcal epididymitis
    • Gonococcal orchitis
    A54.23
    )
  • herpesviral [herpes simplex] balanitis (
    ICD-10-CM Diagnosis Code A60.01

    Herpesviral infection of penis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx
    A60.01
    )
The following code(s) above N48.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N48.1:
  • N00-N99
    2021 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the genitourinary system
Approximate Synonyms
  • Balanitis (inflammation of end of penis)
Clinical Information
  • Inflammation of the head of the penis, glans penis.
ICD-10-CM N48.1 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 727 Inflammation of the male reproductive system with mcc
  • 728 Inflammation of the male reproductive system without mcc

Convert N48.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to N48.1:
  • Type 1 Excludes: N47.6
    , N48.2
    , N49
    ICD-10-CM Diagnosis Code N47.6

    Balanoposthitis

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Male Dx
    Type 1 Excludes
    Use Additional
    • code (B95-B97), to identify infectious agent.
    ICD-10-CM Diagnosis Code N48.2

    Other inflammatory disorders of penis

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • balanitis (N48.1)
    • balanitis xerotica obliterans (N48.0)
    • balanoposthitis (N47.6)
    Use Additional
    • code (B95-B97), to identify infectious agent.
    ICD-10-CM Diagnosis Code N49

    Inflammatory disorders of male genital organs, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Use Additional
    • code (B95-B97), to identify infectious agent

Diagnosis Index entries containing back-references to N48.1:
  • Balanitis (circinata) (erosiva) (gangrenosa) (phagedenic) (vulgaris) N48.1
  • Corbus' disease N48.1 (gangrenous balanitis)

ICD-10-CM Codes Adjacent To N48.1
N47.1 Phimosis
N47.2 Paraphimosis
N47.3 Deficient foreskin
N47.4 Benign cyst of prepuce
N47.5 Adhesions of prepuce and glans penis
N47.6 Balanoposthitis
N47.7 Other inflammatory diseases of prepuce
N47.8 Other disorders of prepuce
N48 Other disorders of penis
N48.0 Leukoplakia of penis
N48.1 Balanitis
N48.2 Other inflammatory disorders of penis
N48.21 Abscess of corpus cavernosum and penis
N48.22 Cellulitis of corpus cavernosum and penis
N48.29 Other inflammatory disorders of penis
N48.3 Priapism
N48.30 …… unspecified
N48.31 …… due to trauma
N48.32 …… due to disease classified elsewhere
N48.33 …… drug-induced
N48.39 Other priapism

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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