ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N49.0

Billable / Specific

Inflammatory disorders of seminal vesicle

N49
Block
1
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM N49.0

ICD-10-CM code N49.0 represents Inflammatory disorders of seminal vesicle. This is a billable/specific code in the Genitourinary System chapter (block N49). The 2026 edition of ICD-10-CM N49.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N49.0. Per CMS ICD-10-CM Tabular 2026.

  • Vesiculitis NOS

Medicare LCD Coverage for N49.0

Local Coverage Determinations (LCDs) from CMS MACs that list N49.0 as a covered diagnosis.

No Medicare LCDs reference N49.0 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N49.0.

1 policies

1 Aetna

Infertility
Policy ID: CPB-0327

CPT Codes Commonly Billed with N49.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N49.0

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 N49.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N49.0 6080 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N49.0, Billing FAQ

Is ICD-10 code N49.0 billable? +

Yes, N49.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N49.0? +

ICD-10 N49.0 includes: Vesiculitis NOS.

What ICD-9 codes does N49.0 map to? +

Per CMS GEMs, N49.0 maps to ICD-9 codes: 6080. 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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