N43.1

N43.1: Infected hydrocele

Billable / specific codeICD-10-CM

N43.1 is a billable, specific ICD-10-CM code for infected hydrocele. It is valid for submission on a claim.

Check N43.1 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97), to identify infectious agent

Excludes1 inherited from the categories above N43.1

A category’s note binds every code beneath it.

Written on N43: Hydrocele and spermatocele

congenital hydrocele (P83.5)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N43.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56697Billing and Coding: Non-Invasive Vascular Studies
A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies

Alphabetic index entries that lead here

Hydrocele›infected

Code history

Unchanged in every release from FY2024 to FY2027.