ICD-10 · PDGM grouping
N48 Other disorders of penis
All 17 codes in the N48 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
17
Can lead a claim
11
Cannot lead a claim
6
What CMS assigns to N48
11 of the 17 codes group to MMTA - Gastrointestinal tract and Genitourinary system (8), MMTA - Other (2) and Wound (1); 6 are assigned no clinical group. None of the 17 is assigned a comorbidity subgroup. 11 of the 17 can lead a claim. CMS attaches a code-first note to 5 of the 17.
Code first
CMS grouper convention 12, on N48.30, N48.31, N48.32, N48.33, N48.39. Code first:
- underlying disease
Every code in N48
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| N48.0 | Leukoplakia of penis | Can lead a claim | J | None |
| N48.1 | Balanitis | Can lead a claim | J | None |
| N48.2 Other inflammatory disorders of penis | ||||
| N48.21 | Abscess of corpus cavernosum and penis | Can lead a claim | J | None |
| N48.22 | Cellulitis of corpus cavernosum and penis | Can lead a claim | J | None |
| N48.29 | Other inflammatory disorders of penis | Can lead a claim | J | None |
| N48.3 Priapism | ||||
| N48.30 | Priapism, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N48.31 | Priapism due to trauma | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N48.32 | Priapism due to disease classified elsewhere | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| N48.33 | Priapism, drug-induced | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N48.39 | Other priapism | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| N48.5 | Ulcer of penis | Can lead a claim | C | None |
| N48.6 | Induration penis plastica | Can lead a claim | A | None |
| N48.8 Other specified disorders of penis | ||||
| N48.81 | Thrombosis of superficial vein of penis | Can lead a claim | J | None |
| N48.82 | Acquired torsion of penis | Can lead a claim | A | None |
| N48.83 | Acquired buried penis | Can lead a claim | J | None |
| N48.89 | Other specified disorders of penis | Can lead a claim | J | None |
| N48.9 | Disorder of penis, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue