ICD-10 Coding for Testicle Pain(N50.811, N50.812, N50.819, N44.0, N45.0)
Complete ICD-10-CM coding and documentation guide for Testicle Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicle Pain
N50.81-N50.819Primary Range
Other specified disorders of male genital organs
This range includes specific codes for testicular pain with laterality.
Torsion of testis
Used when testicular torsion is diagnosed, which is a common cause of acute testicular pain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N50.811 | Right testicular pain | Use when the patient presents with right-sided testicular pain without a specific underlying cause. |
|
| N50.812 | Left testicular pain | Use when the patient presents with left-sided testicular pain without a specific underlying cause. |
|
| N50.819 | Testicular pain, unspecified | Use when testicular pain is documented but laterality is not specified. |
|
| N44.0 | Torsion of testis | Use when testicular torsion is confirmed by clinical and imaging findings. |
|
| N45.0 | Orchitis and epididymitis | Use when epididymitis is confirmed as the cause of testicular pain. |
|
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 testicle pain
Essential facts and insights about Testicle Pain
Primary ICD-10-CM Codes for testicle pain
Decision Criteria
clinical Criteria
- Right-sided testicular pain documented
documentation Criteria
- Laterality specified in the medical record
Applicable To
- Pain in right testicle
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Documented right-sided testicular pain
- Physical exam findings supporting testicular pain
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented clearly to avoid coding errors.
N50.812 - Left testicular pain
Use when the patient presents with left-sided testicular pain without a specific underlying cause.
Applicable To
- Pain in left testicle
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Documented left-sided testicular pain
- Physical exam findings supporting testicular pain
Coding Notes
Ensure laterality is documented clearly to avoid coding errors.
N50.819 - Testicular pain, unspecified
Use when testicular pain is documented but laterality is not specified.
Applicable To
- Pain in testicle, unspecified
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Documented testicular pain without specified laterality
- Physical exam findings supporting testicular pain
Coding Notes
Specify laterality whenever possible to improve coding accuracy.
N44.0 - Torsion of testis
Use when testicular torsion is confirmed by clinical and imaging findings.
Applicable To
- Testicular torsion
Excludes
- Testicular pain without torsion (N50.81-)
Clinical Validation Requirements
- Absent cremasteric reflex
- Doppler ultrasound showing no blood flow
Coding Notes
Ensure surgical confirmation of torsion for accurate coding.
N45.0 - Orchitis and epididymitis
Use when epididymitis is confirmed as the cause of testicular pain.
Applicable To
- Epididymitis
Excludes
- Testicular torsion (N44.0)
Clinical Validation Requirements
- Positive urine culture
- Scrotal edema and tenderness
Coding Notes
Link to laboratory findings for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Epididymitis
N45.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testicle Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N50.811.
Impact
Clinical: May lead to inappropriate treatment, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Train staff on importance of laterality, Use templates that prompt for laterality
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity, Compliance: Non-compliance with coding guidelines requiring specificity, Data Quality: Reduces accuracy of clinical data
Mitigation Strategy
Ensure laterality is specified and use N50.811 or N50.812 accordingly
Impact
Reimbursement: Incorrect coding may lead to claim denials, Compliance: Non-compliance with clinical validation requirements, Data Quality: Inaccurate representation of clinical condition
Mitigation Strategy
Verify torsion with surgical or imaging confirmation before coding
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement mandatory fields in EHR for laterality.
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 Testicle Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicle Pain
Use these documentation templates to ensure complete and accurate documentation for Testicle Pain. These templates include all required elements for proper coding and billing.
Acute Testicular Pain
Specialty: UrologyRequired Elements
- Location and laterality of pain
- Onset and duration
- Associated symptoms
- Physical exam findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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