MCMCB Pro
N51

N51Disorders of male genital organs in diseases classified elsewhere

Billable / specific codeICD-10-CM

N51 is a billable, specific ICD-10-CM code for disorders of male genital organs in diseases classified elsewhere. It is valid for submission on a claim.

Excludes1 — never code together

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

  • amebic balanitis (A06.8)
  • candidal balanitis (B37.42)
  • gonococcal balanitis (A54.23)
  • gonococcal prostatitis (A54.22)
  • herpesviral [herpes simplex] balanitis (A60.01)
  • trichomonal prostatitis (A59.02)
  • tuberculous prostatitis (A18.14)

Code first

The underlying condition must be sequenced before this code.

  • underlying disease, such as:
  • filariasis (B74.0-B74.9)

Risk adjustment

N51 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

N51 is named in 3 Medicare coverage policies 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56697Billing and Coding: Non-Invasive Vascular Studies
  • A56758Billing and Coding: Non-Invasive Vascular Studies
  • A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies

Questions about N51

Is N51 a billable ICD-10-CM code?
Yes. N51 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N51 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).
What cannot be coded together with N51?
N51 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.