2022 ICD-10-CM Code N49.3
Fournier gangrene
Code Classification
N49.3 is a billable diagnosis code used to specify a medical diagnosis of fournier gangrene. The code N49.3 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N49.3 might also be used to specify conditions or terms like fournier's gangrene, fournier's gangrene of penis, fournier's gangrene of scrotum, gangrene of perineum, gangrene of scrotum , injury of fascia of pelvis, etc.
The code N49.3 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.
Entries in the Index to Diseases and Injuries with references to N49.3
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N49.3 are found in the index:
- - Disease, diseased - See Also: Syndrome;
- - Fournier (gangrene) - N49.3
- - Fournier disease or gangrene - N49.3
- - Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) - See Also: Necrosis; - I96
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Diagnoses for males only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to MALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Fournier's gangrene
- Fournier's gangrene of penis
- Fournier's gangrene of scrotum
- Gangrene of perineum
- Gangrene of scrotum
- Injury of fascia of pelvis
- Penile gangrene
Clinical Information
- FOURNIER GANGRENE-. an acute necrotic infection of the scrotum; penis; or perineum. it is characterized by scrotum pain and redness with rapid progression to gangrene and sloughing of tissue. fournier gangrene is usually secondary to perirectal or periurethral infections associated with local trauma operative procedures or urinary tract disease.
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code N49.3 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | 12 | 1.4181 |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | 12 | 0.8035 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert N49.3 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code N49.3 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 608.4 - Male gen inflam dis NEC (Approximate Flag)
Information for Patients
Gangrene
Gangrene is the death of tissues in your body. It happens when a part of your body loses its blood supply. Gangrene can happen on the surface of the body, such as on the skin, or inside the body, in muscles or organs. Causes include
- Serious injuries
- Problems with blood circulation, such as atherosclerosis and peripheral arterial disease
- Diabetes
Skin symptoms may include a blue or black color, pain, numbness, and sores that produce a foul-smelling discharge. If the gangrene is internal, you may run a fever and feel unwell, and the area may be swollen and painful.
Gangrene is a serious condition. It needs immediate attention. Treatment includes surgery, antibiotics, and oxygen therapy. In severe cases an amputation may be necessary.
[Learn More in MedlinePlus]
Penis Disorders
Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include
- Erectile dysfunction - inability to get or keep an erection
- Priapism - a painful erection that does not go away
- Peyronie's disease - bending of the penis during an erection due to a hard lump called a plaque
- Balanitis - inflammation of the skin covering the head of the penis, most often in men and boys who have not been circumcised
- Penile cancer - a rare form of cancer, highly curable when caught early
[Learn More in MedlinePlus]
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.
You should examine your testicles monthly and seek medical attention for lumps, redness, pain or other changes. Testicles can get inflamed or infected. They can also develop cancer. Testicular cancer is rare and highly treatable. It usually happens between the ages of 15 and 40.
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| N49 | Inflammatory disorders of male genital organs, not elsewhere classified | NON-BILLABLE CODE |
| N49.0 | Inflammatory disorders of seminal vesicle | BILLABLE CODE |
| N49.1 | Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens | BILLABLE CODE |
| N49.2 | Inflammatory disorders of scrotum | BILLABLE CODE |
| N49.8 | Inflammatory disorders of other specified male genital organs | BILLABLE CODE |
| N49.9 | Inflammatory disorder of unspecified male genital organ | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)
