ICD-10-CM Code N49.3

Valid for Submission

N49.3 is a billable code used to specify a medical diagnosis of fournier gangrene. The code is valid for the year 2020 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, infection of scrotum, 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.

Index to Diseases and Injuries

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
  • - Fournier - N49.3
  • - scrotum - N49.3

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 - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only .

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
• Infection of scrotum
• 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

The ICD-10 code N49.3 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

• 727 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
• 728 - INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Convert N49.3 to ICD-9

• 608.4 - Male gen inflam dis NEC (Approximate Flag)

Code Classification

• Diseases of the genitourinary system (N00–N99)
  • Diseases of male genital organs (N40-N53)
    • Inflammatory disorders of male genital organs, NEC (N49)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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