N49.3 Fournier gangrene

Billable ICD-10-CM code, FY2026.

Applies from N49 Inflammatory disorders of male genital organs, not elsewhere classified

Excludes1 (never code together)

• inflammation of penis (N48.1, N48.2-)
• orchitis and epididymitis (N45.-)

Use additional code

• code (B95-B97), to identify infectious agent

Risk adjustment (HCC)

• CMS-HCC V28: HCC 92 — Bone/Joint/Muscle/Severe Soft Tissue Infections/Necrosis

MS-DRG index

Defines the logic of DRG(s) 727-728 in MDC 12.

Approximate ICD-9-CM (GEMs)

• 608.4 Other inflammatory disorders of male genital organs (approximate)

Code annotations containing back-references to N49.3

Back-references to N49

• Type 2 Excludes: L02 Cutaneous abscess, furuncle and carbuncle ("abscess of male genital organs (external) (N48.2, N49.-)")
• Type 2 Excludes: L02.2 Cutaneous abscess, furuncle and carbuncle of trunk ("abscess of male external genital organs (N48.2, N49.-)")
• Type 2 Excludes: L03 Cellulitis and acute lymphangitis ("cellulitis of male external genital organs (N48.2, N49.-)")
• Type 2 Excludes: L03.31 Cellulitis of trunk ("cellulitis of male external genital organs (N48.2, N49.-)")

Diagnosis Index entries for N49.3

• Disease, diseased › Fournier (gangrene)
• Fournier disease or gangrene
• Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) › Fournier
• Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) › scrotum

Nearby codes

• N49 Inflammatory disorders of male genital organs, not elsewhere classified
• N49.0 Inflammatory disorders of seminal vesicle
• N49.1 Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens
• N49.2 Inflammatory disorders of scrotum
• N49.3 Fournier gangrene (this code)
• N49.8 Inflammatory disorders of other specified male genital organs
• N49.9 Inflammatory disorder of unspecified male genital organ