ICD-10 N43.40
Billable / SpecificSpermatocele of epididymis, unspecified
About ICD-10-CM N43.40
ICD-10-CM code N43.40 represents Spermatocele of epididymis, unspecified. This is a billable/specific code in the Genitourinary System chapter (block N43). The 2026 edition of ICD-10-CM N43.40 became effective on October 1, 2025.
Medicare LCD Coverage for N43.40
Local Coverage Determinations (LCDs) from CMS MACs that list N43.40 as a covered diagnosis.
Showing top 6. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N43.40.
1 Cigna
1 Medicare
CPT Codes Commonly Billed with N43.40
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert N43.40 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N43.40 | 6081 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N43.40
Other codes in section N40-N53 (Diseases of male genital organs).
ICD-10 N43.40, Billing FAQ
Is ICD-10 code N43.40 billable? +
Yes, N43.40 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does N43.40 map to? +
Per CMS GEMs, N43.40 maps to ICD-9 codes: 6081. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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