2027 ICD-10-CM Diagnosis Code N43Hydrocele and spermatocele
N43 is a non-billable ICD-10-CM category code for hydrocele and spermatocele, so it cannot be submitted on claims. Use a more specific code from this category instead, such as N43.0, N43.1, N43.2, and N43.3.
Code Identity
Code Classification
Specific Coding for Hydrocele and spermatoceleOverview
Non-specific codes like N43 require more characters. Use one of these billable codes instead:
Use N43.0 for Encysted hydrocele
Use N43.1 for Infected hydrocele
Use N43.2 for Other hydrocele
Use N43.3 for Hydrocele, unspecified
N43.4 for Spermatocele of epididymis
Use N43.40 for Spermatocele of epididymis, unspecified
Use N43.41 for Spermatocele of epididymis, single
Use N43.42 for Spermatocele of epididymis, multiple
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to N43: its own notes plus those printed at Chapter 14. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- hydrocele of spermatic cord, testis or tunica vaginalis
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- congenital hydrocele (P83.5)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Patient EducationClinical
Testicular Disorders
Testicles, or testes, make male hormones and sperm. They are two egg-shaped organs inside the scrotum, the loose sac of skin behind the penis. It's easy to injure your testicles because they are not protected by bones or muscles. Men and boys should wear athletic supporters when they play sports.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About N43Overview
What is the ICD-10 code for hydrocele and spermatocele?
N43 is the ICD-10-CM category for hydrocele and spermatocele, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is N43 (Hydrocele and spermatocele) a billable code?
No. This is a category header that groups the codes for hydrocele and spermatocele, and headers cannot be submitted on claims. Claims for hydrocele and spermatocele need a more specific code from this category, such as N43.0, N43.1, and N43.2.
Can N43 be reported with P83.5?
Not as a rule. The Excludes1 note on N43 lists "congenital hydrocele (P83.5)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).