Phimosis

This code represents phimosis, a condition where the foreskin of the penis cannot be fully retracted over the glans. This can be a congenital condition or acquired due to inflammation, infection, or trauma, leading to a constricted opening.

Use this code when documentation explicitly states a diagnosis of phimosis. This includes cases of both physiological (normal in infants) and pathological phimosis requiring intervention or monitoring. Supporting documentation would include physician notes describing the inability to retract the foreskin, associated symptoms like pain or difficulty with urination, and any planned treatment.

• Differentiate from paraphimosis, which is a medical emergency where the retracted foreskin cannot be returned to its normal position.
• Consider additional codes for any underlying cause (e.g., balanitis) or associated complications (e.g., urinary obstruction).
• Ensure the documentation specifies whether the phimosis is congenital or acquired, if known, as this may impact clinical decision-making.