N48.5 — Ulcer of penis
N48.5 is a billable, specific ICD-10-CM code for ulcer of penis. It is valid for submission on a claim.
Risk adjustment
N48.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N48.5 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53065Billing and Coding: Outpatient Physical Therapy
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
How N48.5 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N48.5.
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›corpus cavernosum(chronic)
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›penis(chronic)
Related codes at this level
Codes that share N48. If N48.5 is not quite right, the correct code is usually one of these.
Questions about N48.5
- Is N48.5 a billable ICD-10-CM code?
- Yes. N48.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N48.5 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).