N48.1

N48.1: Balanitis

Billable / specific codeICD-10-CM

N48.1 is a billable, specific ICD-10-CM code for balanitis. It is valid for submission on a claim.

Check N48.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

amebic balanitis (A06.8)
balanitis xerotica obliterans (N48.0)
candidal balanitis (B37.42)
gonococcal balanitis (A54.23)
herpesviral [herpes simplex] balanitis (A60.01)

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97), to identify infectious agent

Other codes that can never be billed with N48.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

N47.6Balanoposthitis
N48.2Other inflammatory disorders of penis
N49Inflammatory disorders of male genital organs, not elsewhere classified

Risk adjustment

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

Alphabetic index entries that lead here

Balanitis(circinata) (erosiva) (gangrenosa) (phagedenic) (vulgaris)
Corbus' disease(gangrenous balanitis)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under N48