ICD-10 Coding for Cellulitis of Scrotum(N49.2)
Complete ICD-10-CM coding and documentation guide for Cellulitis of Scrotum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cellulitis of Scrotum
Key Information: ICD-10 code for cellulitis of scrotum
Essential facts and insights about Cellulitis of Scrotum
Primary ICD-10-CM Code for cellulitis of scrotum
Decision Criteria
clinical Criteria
- Presence of erythema, swelling, and pain in the scrotum without abscess
coding Criteria
- Use N49.2 for scrotal cellulitis and add B95-B97 codes if organism is identified
documentation Criteria
- Document specific location and symptoms to justify N49.2
Applicable To
- Cellulitis of scrotum
- Scrotal abscess
Excludes
- L03.9 (Unspecified cellulitis)
Clinical Validation Requirements
- Erythema, warmth, swelling, and pain in the scrotum
- Ultrasound showing no abscess
- Elevated WBC and CRP levels
Code-Specific Risks
- Incorrectly using L03.9 instead of N49.2
- Omitting organism code when applicable
Coding Notes
- Ensure documentation specifies 'cellulitis of scrotum' to use N49.2.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Staphylococcus aureus as the cause of diseases classified elsewhere
B95.61Methicillin-resistant Staphylococcus aureus (MRSA) as the cause of diseases classified elsewhere
B95.62Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cellulitis of Scrotum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N49.2.
Impact
Clinical: May lead to inappropriate treatment, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims or reduced reimbursement
Mitigation Strategy
Ensure detailed documentation of symptoms and diagnosis, Use specific terminology like 'cellulitis of scrotum'
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on condition prevalence and treatment.
Mitigation Strategy
Always use N49.2 for cellulitis specifically located in the scrotum.
Impact
Lack of specificity in documentation can lead to incorrect coding.
Mitigation Strategy
Ensure detailed documentation of symptoms and diagnostic findings.
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 Cellulitis of Scrotum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cellulitis of Scrotum
Use these documentation templates to ensure complete and accurate documentation for Cellulitis of Scrotum. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Scrotal Cellulitis
Specialty: Emergency MedicineRequired Elements
- History of present illness
- Physical examination findings
- Laboratory and imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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