Unspecified undescended testicle, unilateral
ICD-10 Q53.10 is a billable code used to indicate a diagnosis of unspecified undescended testicle, unilateral.
Unilateral undescended testicle, or cryptorchidism, is a congenital condition where one testicle fails to descend into the scrotum. This condition is commonly diagnosed in newborns and can lead to complications such as infertility, testicular cancer, and hernias if not treated. The exact cause of cryptorchidism is often multifactorial, involving genetic, hormonal, and environmental factors. In many cases, the undescended testicle may spontaneously descend within the first year of life, but surgical intervention (orchidopexy) may be necessary if it does not. Accurate coding is essential for tracking the prevalence of this condition and ensuring appropriate management. The unspecified nature of this code indicates that the specific location of the undescended testicle is not documented, which can complicate treatment planning and follow-up care.
Detailed notes on physical examination findings, including the presence and location of the undescended testicle, and any associated anomalies.
A newborn presenting with an undescended testicle during routine examination, or a child referred for evaluation of delayed puberty.
Consideration of associated congenital anomalies such as hypospadias or hernias, which may require additional coding.
Genetic evaluation for syndromic associations, including family history and any chromosomal abnormalities.
Assessment of a child with cryptorchidism and other congenital anomalies, or a family history of testicular dysgenesis.
Awareness of genetic syndromes that may present with undescended testicles, such as Klinefelter syndrome.
Surgical correction of undescended testicle in a pediatric patient.
Operative report detailing the procedure and findings.
Pediatric urology considerations for surgical intervention.
Coding Q53.10 is crucial for tracking the incidence of undescended testicles, which can have significant implications for a child's future health, including fertility and cancer risk. Accurate coding ensures appropriate management and follow-up.