Find information on paraphimosis diagnosis, including clinical documentation, medical coding, and healthcare guidelines. Learn about paraphimosis reduction, treatment, ICD-10 codes (N48.6, N48), and relevant medical terminology for accurate reporting and patient care. This resource covers paraphimosis symptoms, causes, complications like balanitis, and phimosis differentiation for healthcare professionals. Explore details on paraphimosis management, emergency treatment, and best practices for clinical documentation and coding.
Also known as
Other disorders of male genital organs
Covers various male genital disorders, including paraphimosis.
Diseases of male genital organs
Encompasses a wider range of male genital conditions.
Diseases of the genitourinary system
Includes all diseases related to the urinary and genital systems.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the paraphimosis congenital?
Yes
Any other complications?
No
Is it due to iatrogenic cause?
When to use each related code
| Description |
|---|
| Retracted foreskin trapped behind glans |
| Tight foreskin difficult to retract |
| Inflammation of glans and foreskin |
Coding paraphimosis requires specifying cause (e.g., iatrogenic, post-catheterization) for accurate reimbursement and quality metrics. Missing or unclear documentation poses a risk.
Incorrectly coding phimosis (N47.1) as paraphimosis (N48.1) or vice versa leads to claims denials and inaccurate data reporting, impacting revenue cycle.
If a reduction procedure is performed, proper CPT coding (e.g., 54161) is crucial. Missing or inaccurate procedure codes impacts physician reimbursement and cost reporting.
Patient presents with paraphimosis, defined as the inability to retract the foreskin back over the glans penis. Onset reported as [duration]. Patient reports [pain severity] pain, described as [pain character]. Associated symptoms include [list symptoms e.g., edema, erythema, tenderness, difficulty voiding, purulent discharge]. Physical examination reveals [describe physical findings e.g., retracted and constricting foreskin proximal to the glans penis, engorged and edematous glans penis, discoloration]. The diagnosis of paraphimosis is made based on clinical presentation. Differential diagnosis includes phimosis, balanitis, posthitis, and other penile inflammatory conditions. Treatment plan includes manual reduction of the foreskin. [If manual reduction is successful, document: Manual reduction was successful after application of [lubricant or other agent]. Patient tolerated the procedure well. Post-reduction care instructions provided including [specific instructions e.g., proper hygiene, application of ice packs, follow-up care].] [If manual reduction is unsuccessful, document: Manual reduction attempts were unsuccessful. Alternative treatment options discussed include dorsal slit procedure or circumcision. Patient referred to urology for further evaluation and management.] Patient education provided regarding the condition, treatment, and potential complications. Follow-up scheduled in [timeframe]. ICD-10 code N47.1 assigned.