A continued look at new ICD-10-CM codes for genitourinary reporting

Why This Topic Matters

The updates discussed here affect how common urologic and male genital diagnoses are reported, including specificity, laterality, and postprocedural distinctions. Understanding these changes helps coding professionals recognize when older, less specific entries were replaced or expanded and when payer edits may need review.

Article Sections

1. Introduction and scope of 2017 genitourinary updates

   Provides the context for the 2017 ICD-10-CM update cycle and frames the article’s focus on urinary and male genitourinary reporting. It also notes the relationship to the companion discussion covering female genitourinary topics.

2. Chapter 14 overview and payer edit considerations

   Summarizes the structure of the genitourinary chapter and discusses general reporting considerations for diagnoses that may be reviewed by payers. The section emphasizes the broader organizational context for the code changes.

3. Renal tubule-interstitial and obstructive uropathy revisions

   Covers updates within the urinary system section, including renal and obstructive/reflux-related categories. The discussion focuses on terminology revisions, added entries, and note changes.

4. Other diseases of the urinary system

   Reviews selected changes in the urinary system category group outside the renal and obstructive sections. This includes note revisions, terminology updates, and added specificity in several urinary diagnosis areas.

5. Male genital organs: prostate, testicular, scrotal, and erectile dysfunction updates

   Describes revisions affecting prostate-related diagnoses, male genital organ disorders, and erectile dysfunction reporting. The section also addresses additions that increase specificity for pain and postprocedural conditions.

6. Breast-related diagnoses within Chapter 14

   Briefly revisits breast-related entries that can apply to more than one gender. The section notes revisions affecting mastitis, abscess-related entries, and breast necrosis references.

7. Postprocedural genitourinary hemorrhage, hematoma, and seroma revisions

   Summarizes changes to postprocedural genitourinary complication entries, including revised terminology and added specificity. The section covers both revised existing entries and newly added related categories.