2027 ICD-10-CM Diagnosis Code N48.1Balanitis

ICD-10-CM Codes›N00–N99›N40-N53›N48

ICD-10-CM N48.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N48.1 is a billable ICD-10-CM diagnosis code for balanitis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 727 through 728. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Inflammatory conditions of male genital organs.

Code Identity

ICD-10-CM Code
N48.1
Billable Status
Yes — Valid for Submission
Code Describes
Balanitis
Short Description
Balanitis
Same as the full description in the CMS dataset.
Parent Code
Other disorders of penis

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN40-N53Diseases of male genital organs
CategoryN48Other disorders of penis
This CodeN48.1Balanitis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acute infective balanitis
  • Anaerobic balanitis
  • Bacterial balanitis
  • Balanitis
  • Balanitis circinata
  • Balanitis circumscripta plasmacellularis
  • Chronic infective balanitis
  • Circinate balanitis co-occurrent with reactive arthritis triad
  • Erosive balanitis
  • Gangrene of perineum
  • Gangrenous balanitis
  • Genital mycoplasma infection
  • Infective balanitis
  • Irritant balanitis
  • Micaceous and keratotic balanitis
  • Mycoplasma balanitis
  • Penile gangrene
  • Reactive arthritis of spine
  • Reactive arthritis triad
  • Traumatic balanitis
  • Trichomonal balanitis

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N48.1: its own notes plus those printed at Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

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

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.

From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • 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)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

  • code (B95-B97), to identify infectious agent

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N48.1, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming N48.1: they are not reported together with it, unless the two conditions are unrelated.

  • N47.6 Balanoposthitis
    balanitis (N48.1)
  • N48.2 Other inflammatory disorders of penis
    balanitis (N48.1)
  • N49 Inflammatory disorders of male genital organs, not elsewhere classified
    inflammation of penis (N48.1, N48.2-)

Excludes2 1

These codes carry an Excludes2 note naming N48.1: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block R10-R19 Symptoms and signs involving the digestive system and abdomen
    symptoms referable to male genital organs (N48-N50) names N48-N50, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN013
Inflammatory conditions of male genital organs
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Balanitis

    inflammation of the head of the penis, glans penis.

Patient EducationClinical

Penis Disorders

Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N48.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
607.1 Balanoposthitis
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N48.1Overview

What is the ICD-10 code for balanitis?

The ICD-10-CM code for balanitis is N48.1 (sometimes written as N481). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N48.1 (Other disorders of penis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report balanitis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N48.1 group to?

When balanitis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 727, 728, with relative weights from 0.8220 to 1.3694 depending on complications. Higher weights mean higher Medicare reimbursement.

Can N48.1 be reported with A06.8?

Not as a rule. The Excludes1 note on N48.1 lists "amebic balanitis (A06.8)". 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).

Does N48.1 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code (B95-B97), to identify infectious agent. The additional code is reported after N48.1.