Ectopic perineal testis, unilateral
ICD-10 Q53.12 is a billable code used to indicate a diagnosis of ectopic perineal testis, unilateral.
Ectopic perineal testis refers to a congenital condition where one testis is located in an abnormal position, specifically in the perineal region, rather than in the scrotum. This condition is a type of cryptorchidism, which is characterized by the failure of one or both testicles to descend into the scrotum. In the case of ectopic perineal testis, the testis may be found in various locations along the path of descent, including the perineum, thigh, or groin. This condition can lead to complications such as infertility, testicular torsion, and increased risk of malignancy if not addressed. Diagnosis typically involves physical examination and may be supplemented by imaging studies. Treatment usually involves surgical intervention to reposition the testis into the scrotum, a procedure known as orchidopexy. Early intervention is crucial to mitigate potential complications and ensure normal development of the genitalia and reproductive system.
Detailed physical examination findings, including the location of the testis and any associated anomalies.
Pediatric patients presenting with undescended testis during routine examinations or referrals for abnormal genitalia.
Consideration of the child's age and developmental milestones when planning surgical intervention.
Family history of congenital anomalies, genetic testing results if applicable, and any syndromic associations.
Cases where ectopic testis is part of a broader genetic syndrome or associated with other congenital malformations.
Assessment for chromosomal abnormalities that may be linked to the condition, such as Klinefelter syndrome.
Performed to reposition an ectopic testis into the scrotum.
Operative report detailing the procedure and findings.
Pediatric urologists should document any associated anomalies.
Accurate coding of ectopic perineal testis is crucial for appropriate treatment planning, monitoring of potential complications, and ensuring proper reimbursement for surgical interventions. It also aids in the collection of data for research and understanding of congenital conditions.
