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N48 vs R12

N48 (Other disorders of penis) compared with R12 (Heartburn), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. R12 carries an Excludes2 note covering N48: “symptoms referable to male genital organs (N48-N50)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

N48Other disorders of penisR12Heartburn
Billing statusNon-billable header

Report instead: N48.0, N48.1, N48.21, N48.22, N48.29

Billable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionOther disorders of penis is a non-billable ICD-10-CM category code (N48).Heartburn is a billable ICD-10-CM diagnosis code (R12).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources