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N49 ICD-10-CM Code: Inflammatory disorders of male genital organs, not elsewhere classified

ICD-10-CM Code View

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Diseases of male genital organs (N40-N53)

N49

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Inflammatory disorders of male genital organs, not elsewhere classified

Inflammatory disorders of male genital organs, not elsewhere classified

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
N4Diseases of male genital organs (N40-N53)
N49Inflammatory disorders of male genital organs, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N49 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N49 in this effective period.

Related Child Codes

Official
N49.0Inflammatory disorders of seminal vesicle
N49.1Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens
N49.2Inflammatory disorders of scrotum
N49.3Fournier gangrene
N49.8Inflammatory disorders of other specified male genital organs

Includes

Official

ICD-10-CM does not list Includes notes for N49 in this effective period.

Excludes 1

Official
  • inflammation of penis (N48.1, N48.2-)
  • orchitis and epididymitis (N45.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N49 in this effective period.

Use Additional

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

Code Also

Official

ICD-10-CM does not list Code Also instructions for N49 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

N49 is the ICD-10-CM diagnosis code for inflammatory disorders of male genital organs, not elsewhere classified. N49 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering diseases of male genital organs (n40-n53).

Header codes like N49 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at N49's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N49 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • inflammation of penis (N48.1, N48.2-)
  • orchitis and epididymitis (N45.-)

Use Additional Code

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

Child Codes

Code Hierarchy

N49Inflammatory disorders of male genital organs, not elsewhere classified
N49Inflammatory disorders of male genital organs, not elsewhere classified

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