ICD-10 Coding for Orchialgia(N44.2, N50.811)
Complete ICD-10-CM coding and documentation guide for Orchialgia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Orchialgia
N44-N50Primary Range
Diseases of male genital organs
This range includes codes for conditions affecting male genital organs, including orchialgia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N44.2 | Orchialgia | Use when chronic testicular pain is idiopathic and persists beyond 3 months. |
|
| N50.811 | Right testicular pain | Use when pain is specifically localized to the right testicle. |
|
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 orchialgia
Essential facts and insights about Orchialgia
Primary ICD-10-CM Codes for orchialgia
Decision Criteria
clinical Criteria
- Pain duration over 3 months with no identifiable cause
Applicable To
- Chronic testicular pain
Excludes
- Acute orchitis (N45.0)
Clinical Validation Requirements
- Chronic pain lasting more than 3 months
- Negative imaging and laboratory workup
Code-Specific Risks
- Confusion with acute conditions like torsion or infection
Coding Notes
- Ensure documentation specifies chronicity and idiopathic nature.
N50.811 - Right testicular pain
Use when pain is specifically localized to the right testicle.
Applicable To
- Pain localized to the right testicle
Excludes
- Left testicular pain (N50.812)
Clinical Validation Requirements
- Pain localized to the right testicle
Coding Notes
Ensure laterality is documented accurately.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain, not elsewhere classified
G89.29Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chronic orchitis
N45.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Orchialgia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N44.2.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure all diagnostic tests are documented with results., Use templates to guide thorough documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on chronic pain conditions.
Mitigation Strategy
Ensure documentation specifies chronicity and idiopathic nature to use N44.2.
Impact
Inadequate documentation of chronic pain characteristics.
Mitigation Strategy
Use structured templates and ensure comprehensive 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 Orchialgia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Orchialgia
Use these documentation templates to ensure complete and accurate documentation for Orchialgia. These templates include all required elements for proper coding and billing.
Chronic Orchialgia Evaluation
Specialty: UrologyRequired Elements
- Pain characterization
- Negative diagnostic tests
- Failed conservative treatments
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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