N43 vs P83.5
N43 (Hydrocele and spermatocele) compared with P83.5 (Congenital hydrocele), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. N43 carries an Excludes1 note covering P83.5: “congenital hydrocele (P83.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| N43Hydrocele and spermatocele | P83.5Congenital hydrocele | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96) |
| Definition | Hydrocele and spermatocele is a non-billable ICD-10-CM category code (N43). | Congenital hydrocele is a billable ICD-10-CM diagnosis code (P83.5). |
| Includes | hydrocele of spermatic cord, testis or tunica vaginalis | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources