ICD-10 Diagnosis Code N49.3

Code Edits
The following edits are applicable to this code:
Diagnoses for males only - Diagnoses for males only.

Diagnostic Related Groups
The diagnosis code N49.3 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

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

Convert to ICD-9

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

Clinical Information
Notes:

• 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.

Terms:

• Fournier Disease; Fournier's Gangrene

Synonyms

• Fournier's gangrene
• Fournier's gangrene of penis
• Fournier's gangrene of scrotum
• Gangrene of perineum
• Gangrene of scrotum
• Penile gangrene

Index to Diseases and Injuries
References found for the code N49.3 in the Index to Diseases and Injuries:

• - 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

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.

• Gangrene (Medical Encyclopedia)
• Gas gangrene (Medical Encyclopedia)

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Penis Disorders

Also called: Penile 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

• Balanitis (Medical Encyclopedia)
• Cancer - penis (Medical Encyclopedia)
• Curvature of the penis (Medical Encyclopedia)
• Epididymitis (Medical Encyclopedia)
• Epispadias (Medical Encyclopedia)
• Erythroplasia of Queyrat (Medical Encyclopedia)
• Hypospadias (Medical Encyclopedia)
• Hypospadias repair (Medical Encyclopedia)
• Hypospadias repair - discharge (Medical Encyclopedia)
• Paraphimosis (Medical Encyclopedia)
• Penis pain (Medical Encyclopedia)

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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.

• Anorchia (Medical Encyclopedia)
• Hydrocele (Medical Encyclopedia)
• Hydrocele repair (Medical Encyclopedia)
• Hypogonadotropic hypogonadism (Medical Encyclopedia)
• Orchitis (Medical Encyclopedia)
• Scrotal masses (Medical Encyclopedia)
• Testicle lump (Medical Encyclopedia)
• Testicle pain (Medical Encyclopedia)
• Testicular self-examination (Medical Encyclopedia)
• Varicocele (Medical Encyclopedia)

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General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

• Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
• No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
• Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.