ICD-10 · PDGM grouping

N40-N53 — Diseases of male genital organs

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

121

No clinical group

32

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

49 of the 121 codes in N40-N53 group to MMTA - Gastrointestinal tract and Genitourinary system, but the range is not uniform — it spreads across 3 clinical groups. A further 32 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in N40-N53

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
N400Benign prostatic hyperplasia without lower urinry tract sympJAccepted
N401Benign prostatic hyperplasia with lower urinary tract sympJAccepted
N402Nodular prostate without lower urinary tract symptomsJAccepted
N403Nodular prostate with lower urinary tract symptomsJAccepted
N410Acute prostatitisJAccepted
N411Chronic prostatitisJAccepted
N412Abscess of prostateJAccepted
N413ProstatocystitisJAccepted
N414Granulomatous prostatitisAAccepted
N418Other inflammatory diseases of prostateJAccepted
N419Inflammatory disease of prostate, unspecifiedNoneCannot group
N420Calculus of prostateJAccepted
N421Congestion and hemorrhage of prostateJAccepted
N4230Unspecified dysplasia of prostateAAccepted
N4231Prostatic intraepithelial neoplasiaJAccepted
N4232Atypical small acinar proliferation of prostateAAccepted
N4239Other dysplasia of prostateAAccepted
N4281Prostatodynia syndromeAAccepted
N4282Prostatosis syndromeAAccepted
N4283Cyst of prostateJAccepted
N4289Other specified disorders of prostateJAccepted
N429Disorder of prostate, unspecifiedNoneCannot group
N430Encysted hydroceleAAccepted
N431Infected hydroceleJAccepted
N432Other hydroceleJAccepted
N433Hydrocele, unspecifiedNoneCannot group
N4340Spermatocele of epididymis, unspecifiedNoneCannot group
N4341Spermatocele of epididymis, singleAAccepted
N4342Spermatocele of epididymis, multipleAAccepted
N4400Torsion of testis, unspecifiedJAccepted
N4401Extravaginal torsion of spermatic cordAAccepted
N4402Intravaginal torsion of spermatic cordAAccepted
N4403Torsion of appendix testisAAccepted
N4404Torsion of appendix epididymisAAccepted
N441Cyst of tunica albuginea testisJAccepted
N442Benign cyst of testisJAccepted
N448Other noninflammatory disorders of the testisJAccepted
N451EpididymitisJAccepted
N452OrchitisJAccepted
N453Epididymo-orchitisJAccepted
N454Abscess of epididymis or testisJAccepted
N4601Organic azoospermiaNoneCannot group
N46021Azoospermia due to drug therapyNoneCannot group
N46022Azoospermia due to infectionNoneCannot group
N46023Azoospermia due to obstruction of efferent ductsNoneCannot group
N46024Azoospermia due to radiationNoneCannot group
N46025Azoospermia due to systemic diseaseNoneCannot group
N46029Azoospermia due to other extratesticular causesNoneCannot group
N4611Organic oligospermiaNoneCannot group
N46121Oligospermia due to drug therapyNoneCannot group
N46122Oligospermia due to infectionNoneCannot group
N46123Oligospermia due to obstruction of efferent ductsNoneCannot group
N46124Oligospermia due to radiationNoneCannot group
N46125Oligospermia due to systemic diseaseNoneCannot group
N46129Oligospermia due to other extratesticular causesNoneCannot group
N468Other male infertilityNoneCannot group
N469Male infertility, unspecifiedNoneCannot group
N470Adherent prepuce, newbornAAccepted
N471PhimosisJAccepted
N472ParaphimosisJAccepted
N473Deficient foreskinJAccepted
N474Benign cyst of prepuceAAccepted
N475Adhesions of prepuce and glans penisAAccepted
N476BalanoposthitisJAccepted
N477Other inflammatory diseases of prepuceJAccepted
N478Other disorders of prepuceJAccepted
N480Leukoplakia of penisJAccepted
N481BalanitisJAccepted
N4821Abscess of corpus cavernosum and penisJAccepted
N4822Cellulitis of corpus cavernosum and penisJAccepted
N4829Other inflammatory disorders of penisJAccepted
N4830Priapism, unspecifiedNoneCannot group
N4831Priapism due to traumaNoneCannot group
N4832Priapism due to disease classified elsewhereNoneCannot group
N4833Priapism, drug-inducedNoneCannot group
N4839Other priapismNoneCannot group
N485Ulcer of penisCAccepted
N486Induration penis plasticaAAccepted
N4881Thrombosis of superficial vein of penisJAccepted
N4882Acquired torsion of penisAAccepted
N4883Acquired buried penisJAccepted
N4889Other specified disorders of penisJAccepted
N489Disorder of penis, unspecifiedNoneCannot group
N490Inflammatory disorders of seminal vesicleJAccepted
N491Inflam disorders of sperm cord, tunica vaginalis and vas defAAccepted
N492Inflammatory disorders of scrotumJAccepted
N493Fournier gangreneCAccepted
N498Inflammatory disorders of oth male genital organsJAccepted
N499Inflammatory disorder of unspecified male genital organNoneCannot group
N500Atrophy of testisAAccepted
N501Vascular disorders of male genital organsJAccepted
N503Cyst of epididymisJAccepted
N50811Right testicular painAAccepted
N50812Left testicular painAAccepted
N50819Testicular pain, unspecifiedNoneCannot group
N5082Scrotal painAAccepted
N5089Other specified disorders of the male genital organsJAccepted
N509Disorder of male genital organs, unspecifiedNoneCannot group
N51Disorders of male genital organs in diseases classd elswhrNoneCannot group
N5201Erectile dysfunction due to arterial insufficiencyJAccepted
N5202Corporo-venous occlusive erectile dysfunctionAAccepted
N5203Comb artrl insuff & corporo-venous occlusv erectile dysfnctJAccepted
N521Erectile dysfunction due to diseases classified elsewhereNoneCannot group
N522Drug-induced erectile dysfunctionAAccepted
N5231Erectile dysfunction following radical prostatectomyAAccepted
N5232Erectile dysfunction following radical cystectomyAAccepted
N5233Erectile dysfunction following urethral surgeryAAccepted
N5234Erectile dysfunction following simple prostatectomyJAccepted
N5235Erectile dysfunction following radiation therapyAAccepted
N5236Erectile dysfunction following interstitial seed therapyAAccepted
N5237Erectile dysfunction following prostate ablative therapyAAccepted
N5239Other and unspecified postprocedural erectile dysfunctionAAccepted
N528Other male erectile dysfunctionJAccepted
N529Male erectile dysfunction, unspecifiedJAccepted
N5311Retarded ejaculationAAccepted
N5312Painful ejaculationAAccepted
N5313Anejaculatory orgasmAAccepted
N5314Retrograde ejaculationAAccepted
N5319Other ejaculatory dysfunctionAAccepted
N538Other male sexual dysfunctionAAccepted
N539Unspecified male sexual dysfunctionNoneCannot group

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. 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.

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