N43
Non-Billable

Hydrocele and spermatocele

Non-Billable / Non-Specific Code

What is Hydrocele and spermatocele?

ICD-10-CM N43 is the diagnosis code for Hydrocele and spermatocele. This code falls under the section "Diseases of male genital organs" within Chapter 14 — Diseases of the genitourinary system (N00-N99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for N43

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as N43. They are mutually exclusive:

  • congenital hydrocele (P83.5)

ICD-10-CM Code Hierarchy

Understanding where N43 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 5 entries
N43.0Encysted hydroceleBillableN43.1Infected hydroceleBillableN43.2Other hydroceleBillableN43.3Hydrocele, unspecifiedBillableN43.4Spermatocele of epididymisNon-BillableN43.40Spermatocele of epididymis, unspecifiedBillableN43.41Spermatocele of epididymis, singleBillableN43.42Spermatocele of epididymis, multipleBillable
Related Codes

Frequently Asked Questions

Is N43 a billable ICD-10-CM code?

No, N43 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does N43 mean?

N43 is the ICD-10-CM diagnosis code for "Hydrocele and spermatocele". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is N43 in?

N43 is located in Section N40-N53 — "Diseases of male genital organs" within Chapter 14 of the ICD-10-CM Tabular List.

What are the sub-codes of N43?

N43 has 5 sub-code(s) that provide more specific detail: N43.0, N43.1, N43.2, N43.3, N43.4.

When should I use N43?

Use N43 when the patients documented diagnosis matches "Hydrocele and spermatocele" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Hydrocele and spermatocele?

The ICD-10-CM code for Hydrocele and spermatocele is N43.

Can N43 be used for primary diagnosis?

No, N43 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is N43 in?

N43 is in Chapter 14 of the ICD-10-CM Tabular List.

What conditions are excluded from N43?

Type 1 Excludes for N43 include: congenital hydrocele (P83.5).

Is N43 valid for 2026?

Yes, N43 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousN42.9Disorder of prostate, unspecifiedNext →N43.0Encysted hydrocele
Code Details
N43
Hydrocele and spermatocele
Non-Billable / Non-Specific Code
14 — Diseases of the genitourinary system (N00-N99)
N40-N53 — Diseases of male genital organs
2026 ICD-10-CM