Abdominal testis, unilateral
ICD-10 Q53.11 is a billable code used to indicate a diagnosis of abdominal testis, unilateral.
Abdominal testis, or unilateral cryptorchidism, is a congenital condition where one testis fails to descend into the scrotum and remains located in the abdominal cavity. This condition is often diagnosed during infancy or early childhood and can lead to complications such as infertility, testicular torsion, and increased risk of testicular cancer if left untreated. The descent of the testis typically occurs during the last trimester of pregnancy, and factors influencing this process can include hormonal imbalances, genetic predispositions, and environmental factors. Clinical evaluation often involves physical examination and imaging studies, such as ultrasound, to confirm the location of the testis. Treatment usually involves surgical intervention, known as orchidopexy, to relocate the testis into the scrotum, ideally performed before the child reaches one year of age to minimize long-term complications. Accurate coding of this condition is essential for proper management and follow-up care.
Detailed physical examination notes, imaging results, and surgical reports.
Infants presenting with undescended testis during routine check-ups or referrals for surgical evaluation.
Consideration of associated conditions such as hypospadias or other genital anomalies that may require comprehensive management.
Family history of congenital conditions, genetic testing results if applicable.
Cases where cryptorchidism is part of a syndrome or associated with chromosomal abnormalities.
Assessment of genetic factors that may contribute to the condition, including syndromic associations.
Performed to correct unilateral abdominal testis.
Operative report detailing the procedure and findings.
Pediatric surgical documentation must include pre-operative and post-operative assessments.
Accurate coding of Q53.11 is crucial for ensuring appropriate treatment and follow-up care for children with unilateral abdominal testis. It helps in tracking outcomes and managing potential complications associated with cryptorchidism.