Hydrocele and spermatocele
Chapter 14:Diseases of the genitourinary system
ICD-10 N43 is a billable code used to indicate a diagnosis of hydrocele and spermatocele.
Hydrocele is a condition characterized by the accumulation of serous fluid in the tunica vaginalis, the pouch of serous membrane surrounding the testis. It can occur in one or both testicles and is often painless, although it may cause discomfort due to its size. Hydroceles can be classified as congenital or acquired, with congenital hydroceles typically resolving spontaneously in infants. Acquired hydroceles may result from trauma, infection, or inflammation, and can be associated with conditions such as orchitis or testicular tumors. Spermatocele, on the other hand, is a cystic accumulation of sperm and fluid in the epididymis, often asymptomatic and discovered incidentally. Both conditions can lead to male infertility if left untreated, particularly when associated with underlying testicular disorders. Management may involve observation for asymptomatic cases, while symptomatic or large hydroceles may require surgical intervention, such as hydrocelectomy. Accurate coding for hydrocele and spermatocele is essential for proper reimbursement and tracking of male reproductive health issues.
Detailed clinical history, physical examination findings, imaging results, and treatment plans.
Evaluation of scrotal swelling, management of male infertility, and post-operative follow-up after hydrocelectomy.
Ensure accurate documentation of the size of the hydrocele and any associated symptoms to support the medical necessity of procedures.
Comprehensive assessment of male reproductive health, including semen analysis and hormonal evaluations.
Assessment of male infertility, management of spermatocele, and counseling on reproductive options.
Document any impact on fertility and the patient's reproductive goals to justify interventions.
Performed for symptomatic hydrocele requiring surgical intervention.
Document the size of the hydrocele, symptoms, and rationale for surgery.
Urologists should ensure pre-operative assessments are documented.
Hydrocele is the accumulation of fluid in the tunica vaginalis surrounding the testis, while spermatocele is a cystic accumulation of sperm in the epididymis. Hydroceles are often painless and can be congenital or acquired, whereas spermatoceles are usually asymptomatic and discovered incidentally.
