Inflammatory disorders of male genital organs, not elsewhere classified (N49)

ICD-10 code N49 covers inflammatory disorders of male genital organs that do not fit into other specific categories. This includes conditions like inflammation of the seminal vesicle, spermatic cord, scrotum, as well as serious infections like Fournier gangrene. These codes help precisely classify various inflammation-related male genital infections and complications.

Within the N49 category, N49.0 refers to inflammation of the seminal vesicle, commonly known as seminal vesiculitis or related conditions such as chronic gonococcal seminal vesiculitis and abscess of the seminal vesicle. N49.1 includes infections or inflammations affecting the spermatic cord, tunica vaginalis, and vas deferens, covering synonyms like vasitis, cellulitis of the spermatic cord, and abscesses in these areas. N49.2 focuses on inflammatory disorders of the scrotum, including scrotal cellulitis, abscesses, and infected blisters. Notably, N49.3 represents Fournier gangrene, a severe gangrenous infection of the scrotum or penis. Codes N49.8 and N49.9 are used for other specified or unspecified inflammatory male genital organ conditions, often applied to infections or inflammations when the exact site or diagnosis is unclear. Medical coders use this section to accurately document and report male genital infections and related inflammatory disorders.

Instructional Notations

Use Additional Code

The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • inflammation of penis N48.1 N48.2
  • orchitis and epididymitis N45

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

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.