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 v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
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.
Code families in N40-N53
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- N40Benign prostatic hyperplasia4 codes
- N41Inflammatory diseases of prostate7 codes
- N42Other and unspecified disorders of prostate11 codes
- N43Hydrocele and spermatocele7 codes
- N44Noninflammatory disorders of testis8 codes
- N45Orchitis and epididymitis4 codes
- N46Male infertility16 codes
- N47Disorders of prepuce9 codes
- N48Other disorders of penis17 codes
- N49Inflammatory disorders of male genital organs, not elsewhere classified6 codes
- N50Other and unspecified disorders of male genital organs9 codes
- N51Disorders of male genital organs in diseases classified elsewhere1 code
- N52Male erectile dysfunction15 codes
- N53Other male sexual dysfunction7 codes
Every code in N40-N53
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| N400 | Benign prostatic hyperplasia without lower urinry tract symp | J | Can lead a claim |
| N401 | Benign prostatic hyperplasia with lower urinary tract symp | J | Can lead a claim |
| N402 | Nodular prostate without lower urinary tract symptoms | J | Can lead a claim |
| N403 | Nodular prostate with lower urinary tract symptoms | J | Can lead a claim |
| N410 | Acute prostatitis | J | Can lead a claim |
| N411 | Chronic prostatitis | J | Can lead a claim |
| N412 | Abscess of prostate | J | Can lead a claim |
| N413 | Prostatocystitis | J | Can lead a claim |
| N414 | Granulomatous prostatitis | A | Can lead a claim |
| N418 | Other inflammatory diseases of prostate | J | Can lead a claim |
| N419 | Inflammatory disease of prostate, unspecified | None | Cannot lead a claim |
| N420 | Calculus of prostate | J | Can lead a claim |
| N421 | Congestion and hemorrhage of prostate | J | Can lead a claim |
| N4230 | Unspecified dysplasia of prostate | A | Can lead a claim |
| N4231 | Prostatic intraepithelial neoplasia | J | Can lead a claim |
| N4232 | Atypical small acinar proliferation of prostate | A | Can lead a claim |
| N4239 | Other dysplasia of prostate | A | Can lead a claim |
| N4281 | Prostatodynia syndrome | A | Can lead a claim |
| N4282 | Prostatosis syndrome | A | Can lead a claim |
| N4283 | Cyst of prostate | J | Can lead a claim |
| N4289 | Other specified disorders of prostate | J | Can lead a claim |
| N429 | Disorder of prostate, unspecified | None | Cannot lead a claim |
| N430 | Encysted hydrocele | A | Can lead a claim |
| N431 | Infected hydrocele | J | Can lead a claim |
| N432 | Other hydrocele | J | Can lead a claim |
| N433 | Hydrocele, unspecified | None | Cannot lead a claim |
| N4340 | Spermatocele of epididymis, unspecified | None | Cannot lead a claim |
| N4341 | Spermatocele of epididymis, single | A | Can lead a claim |
| N4342 | Spermatocele of epididymis, multiple | A | Can lead a claim |
| N4400 | Torsion of testis, unspecified | J | Can lead a claim |
| N4401 | Extravaginal torsion of spermatic cord | A | Can lead a claim |
| N4402 | Intravaginal torsion of spermatic cord | A | Can lead a claim |
| N4403 | Torsion of appendix testis | A | Can lead a claim |
| N4404 | Torsion of appendix epididymis | A | Can lead a claim |
| N441 | Cyst of tunica albuginea testis | J | Can lead a claim |
| N442 | Benign cyst of testis | J | Can lead a claim |
| N448 | Other noninflammatory disorders of the testis | J | Can lead a claim |
| N451 | Epididymitis | J | Can lead a claim |
| N452 | Orchitis | J | Can lead a claim |
| N453 | Epididymo-orchitis | J | Can lead a claim |
| N454 | Abscess of epididymis or testis | J | Can lead a claim |
| N4601 | Organic azoospermia | None | Cannot lead a claim |
| N46021 | Azoospermia due to drug therapy | None | Cannot lead a claim |
| N46022 | Azoospermia due to infection | None | Cannot lead a claim |
| N46023 | Azoospermia due to obstruction of efferent ducts | None | Cannot lead a claim |
| N46024 | Azoospermia due to radiation | None | Cannot lead a claim |
| N46025 | Azoospermia due to systemic disease | None | Cannot lead a claim |
| N46029 | Azoospermia due to other extratesticular causes | None | Cannot lead a claim |
| N4611 | Organic oligospermia | None | Cannot lead a claim |
| N46121 | Oligospermia due to drug therapy | None | Cannot lead a claim |
| N46122 | Oligospermia due to infection | None | Cannot lead a claim |
| N46123 | Oligospermia due to obstruction of efferent ducts | None | Cannot lead a claim |
| N46124 | Oligospermia due to radiation | None | Cannot lead a claim |
| N46125 | Oligospermia due to systemic disease | None | Cannot lead a claim |
| N46129 | Oligospermia due to other extratesticular causes | None | Cannot lead a claim |
| N468 | Other male infertility | None | Cannot lead a claim |
| N469 | Male infertility, unspecified | None | Cannot lead a claim |
| N470 | Adherent prepuce, newborn | A | Can lead a claim |
| N471 | Phimosis | J | Can lead a claim |
| N472 | Paraphimosis | J | Can lead a claim |
| N473 | Deficient foreskin | J | Can lead a claim |
| N474 | Benign cyst of prepuce | A | Can lead a claim |
| N475 | Adhesions of prepuce and glans penis | A | Can lead a claim |
| N476 | Balanoposthitis | J | Can lead a claim |
| N477 | Other inflammatory diseases of prepuce | J | Can lead a claim |
| N478 | Other disorders of prepuce | J | Can lead a claim |
| N480 | Leukoplakia of penis | J | Can lead a claim |
| N481 | Balanitis | J | Can lead a claim |
| N4821 | Abscess of corpus cavernosum and penis | J | Can lead a claim |
| N4822 | Cellulitis of corpus cavernosum and penis | J | Can lead a claim |
| N4829 | Other inflammatory disorders of penis | J | Can lead a claim |
| N4830 | Priapism, unspecified | None | Cannot lead a claim |
| N4831 | Priapism due to trauma | None | Cannot lead a claim |
| N4832 | Priapism due to disease classified elsewhere | None | Cannot lead a claim |
| N4833 | Priapism, drug-induced | None | Cannot lead a claim |
| N4839 | Other priapism | None | Cannot lead a claim |
| N485 | Ulcer of penis | C | Can lead a claim |
| N486 | Induration penis plastica | A | Can lead a claim |
| N4881 | Thrombosis of superficial vein of penis | J | Can lead a claim |
| N4882 | Acquired torsion of penis | A | Can lead a claim |
| N4883 | Acquired buried penis | J | Can lead a claim |
| N4889 | Other specified disorders of penis | J | Can lead a claim |
| N489 | Disorder of penis, unspecified | None | Cannot lead a claim |
| N490 | Inflammatory disorders of seminal vesicle | J | Can lead a claim |
| N491 | Inflam disorders of sperm cord, tunica vaginalis and vas def | A | Can lead a claim |
| N492 | Inflammatory disorders of scrotum | J | Can lead a claim |
| N493 | Fournier gangrene | C | Can lead a claim |
| N498 | Inflammatory disorders of oth male genital organs | J | Can lead a claim |
| N499 | Inflammatory disorder of unspecified male genital organ | None | Cannot lead a claim |
| N500 | Atrophy of testis | A | Can lead a claim |
| N501 | Vascular disorders of male genital organs | J | Can lead a claim |
| N503 | Cyst of epididymis | J | Can lead a claim |
| N50811 | Right testicular pain | A | Can lead a claim |
| N50812 | Left testicular pain | A | Can lead a claim |
| N50819 | Testicular pain, unspecified | None | Cannot lead a claim |
| N5082 | Scrotal pain | A | Can lead a claim |
| N5089 | Other specified disorders of the male genital organs | J | Can lead a claim |
| N509 | Disorder of male genital organs, unspecified | None | Cannot lead a claim |
| N51 | Disorders of male genital organs in diseases classd elswhr | None | Cannot lead a claim |
| N5201 | Erectile dysfunction due to arterial insufficiency | J | Can lead a claim |
| N5202 | Corporo-venous occlusive erectile dysfunction | A | Can lead a claim |
| N5203 | Comb artrl insuff & corporo-venous occlusv erectile dysfnct | J | Can lead a claim |
| N521 | Erectile dysfunction due to diseases classified elsewhere | None | Cannot lead a claim |
| N522 | Drug-induced erectile dysfunction | A | Can lead a claim |
| N5231 | Erectile dysfunction following radical prostatectomy | A | Can lead a claim |
| N5232 | Erectile dysfunction following radical cystectomy | A | Can lead a claim |
| N5233 | Erectile dysfunction following urethral surgery | A | Can lead a claim |
| N5234 | Erectile dysfunction following simple prostatectomy | J | Can lead a claim |
| N5235 | Erectile dysfunction following radiation therapy | A | Can lead a claim |
| N5236 | Erectile dysfunction following interstitial seed therapy | A | Can lead a claim |
| N5237 | Erectile dysfunction following prostate ablative therapy | A | Can lead a claim |
| N5239 | Other and unspecified postprocedural erectile dysfunction | A | Can lead a claim |
| N528 | Other male erectile dysfunction | J | Can lead a claim |
| N529 | Male erectile dysfunction, unspecified | J | Can lead a claim |
| N5311 | Retarded ejaculation | A | Can lead a claim |
| N5312 | Painful ejaculation | A | Can lead a claim |
| N5313 | Anejaculatory orgasm | A | Can lead a claim |
| N5314 | Retrograde ejaculation | A | Can lead a claim |
| N5319 | Other ejaculatory dysfunction | A | Can lead a claim |
| N538 | Other male sexual dysfunction | A | Can lead a claim |
| N539 | Unspecified male sexual dysfunction | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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