ICD-10 Coding for Peyronie's Disease(N48.6)
Complete ICD-10-CM coding and documentation guide for Peyronie's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peyronie's Disease
N40-N53Primary Range
Diseases of male genital organs
This range includes conditions affecting male genital organs, with Peyronie's Disease specifically coded under N48.6.
Key Information: ICD-10 code for Peyronie's disease
Essential facts and insights about Peyronie's Disease
Primary ICD-10-CM Code for peyronie's
Decision Criteria
clinical Criteria
- Presence of palpable plaque and curvature
documentation Criteria
- Detailed description of curvature and plaque
Applicable To
- Penile curvature
- Palpable plaque
Excludes
- Congenital penile curvature (Q55.6)
Clinical Validation Requirements
- Palpable plaque on physical exam
- Curvature measurement using goniometer
- Symptom duration >3 months
Code-Specific Risks
- Misclassification with N48.89 (other specified disorders of penis)
Coding Notes
- Ensure documentation includes plaque characteristics and curvature degree.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction, unspecified
N52.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peyronie's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N48.6.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Include detailed plaque characteristics in notes
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies Peyronie's disease with plaque and curvature.
Impact
Lack of REMS documentation can lead to audit issues.
Mitigation Strategy
Ensure REMS compliance is documented for each injection.
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 Peyronie's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peyronie's Disease
Use these documentation templates to ensure complete and accurate documentation for Peyronie's Disease. These templates include all required elements for proper coding and billing.
Post-Xiaflex® Injection Follow-up
Specialty: UrologyRequired Elements
- Injection site and dosage
- Patient response
- Modeling procedure
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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