N49.3

N49.3: Fournier gangrene

Billable / specific codeICD-10-CM

N49.3 is a billable, specific ICD-10-CM code for fournier gangrene. It is valid for submission on a claim.

Check N49.3 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above N49.3

A category’s note binds every code beneath it.

Written on N49: Inflammatory disorders of male genital organs, not elsewhere classified

inflammation of penis (N48.1, N48.2-)
orchitis and epididymitis (N45.-)

Risk adjustment

N49.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 92 Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis0.479 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

N49.3 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

Fournier disease or gangrene
Disease, diseased›Fournier(gangrene)
Gangrene, gangrenous›Fournier
Gangrene, gangrenous›scrotum

Code history

Unchanged in every release from FY2024 to FY2027.