Redundant prepuce and phimosis

This code describes a condition where the foreskin is excessively long (redundant prepuce) and/or too tight to be retracted over the glans penis (phimosis). These conditions can occur together or independently, leading to potential hygiene issues, discomfort, or difficulty with urination or sexual activity.

Use this code when documentation indicates a diagnosis of redundant foreskin, phimosis, or both. This often presents in pediatric patients or adults experiencing symptoms related to a non-retractile or overly long foreskin. Supporting documentation would include physician notes detailing the physical examination findings and the specific diagnosis.

• Differentiate from paraphimosis (foreskin trapped behind the glans), which is a distinct and acute condition.
• Consider if a congenital or acquired cause is specified, though this code does not differentiate.
• This code is often used as the primary diagnosis for procedures such as circumcision (e.g., CPT 54150, 54160).