Noninflammatory disorders of testis
Chapter 14:Diseases of the genitourinary system
ICD-10 N44 is a billable code used to indicate a diagnosis of noninflammatory disorders of testis.
Noninflammatory disorders of the testis encompass a variety of conditions that affect the male reproductive system without an inflammatory component. This includes hydrocele, which is the accumulation of fluid around the testicle, leading to swelling and discomfort. Testicular disorders may also involve conditions such as testicular torsion, which is a surgical emergency, and varicocele, characterized by enlarged veins within the scrotum that can affect fertility. Orchitis, while primarily inflammatory, can sometimes be associated with noninflammatory conditions, particularly in chronic cases. Male infertility can arise from various noninflammatory factors, including hormonal imbalances, anatomical abnormalities, and genetic issues. Penile disorders, such as Peyronie's disease, can also be linked to testicular health, as they may affect sexual function and fertility. Andrological management of these conditions often requires a multidisciplinary approach, including urologists and endocrinologists, to address both the physical and psychological aspects of male reproductive health.
Detailed clinical notes including patient history, physical examination findings, and diagnostic test results.
Evaluation of a patient presenting with scrotal swelling, infertility assessments, and management of varicocele.
Ensure that all relevant symptoms and diagnostic tests are documented to support the diagnosis and treatment plan.
Hormonal assessment results, patient history regarding fertility issues, and any relevant imaging studies.
Assessment of hormonal imbalances contributing to male infertility and management of associated conditions.
Document any hormonal therapies or interventions clearly to support coding for related conditions.
Performed for symptomatic varicocele associated with infertility.
Pre-operative assessment, surgical notes, and post-operative follow-up.
Urologists should ensure detailed documentation of indications for surgery.
N44 includes noninflammatory disorders such as hydrocele, varicocele, and testicular torsion, among others.
Careful documentation of symptoms, clinical findings, and diagnostic tests is essential to differentiate between inflammatory conditions (coded under N43) and noninflammatory disorders (coded under N44).