Unilateral high scrotal testis
ICD-10 Q53.13 is a billable code used to indicate a diagnosis of unilateral high scrotal testis.
Unilateral high scrotal testis, also known as high scrotal cryptorchidism, is a congenital condition where one testis fails to descend into the scrotum and remains positioned high within the scrotal sac. This condition is typically diagnosed during a physical examination in infancy or early childhood. The undescended testis may be palpable in the inguinal canal or may be located in a high scrotal position. The etiology of this condition can be multifactorial, including genetic predispositions, hormonal influences, and environmental factors. If left untreated, unilateral high scrotal testis can lead to complications such as infertility, testicular torsion, and an increased risk of testicular cancer. Surgical intervention, typically through orchidopexy, is often recommended to reposition the testis into the scrotum, ideally before the child reaches one year of age to optimize fertility outcomes and minimize malignancy risks. Accurate coding of this condition is essential for proper treatment planning and insurance reimbursement.
Detailed physical examination findings, including testis location and any associated anomalies.
Infants presenting with undescended testis during routine check-ups or referrals for surgical intervention.
Consideration of the child's age and development stage when planning surgical intervention.
Family history of cryptorchidism or other congenital anomalies, genetic testing results if applicable.
Cases where cryptorchidism is part of a syndrome or associated with chromosomal abnormalities.
Assessment of genetic syndromes that may predispose to cryptorchidism, such as Klinefelter syndrome.
Performed to correct undescended testis.
Operative report detailing the procedure and findings.
Pediatric urologists typically perform this procedure.
Accurate coding of Q53.13 is crucial for ensuring appropriate treatment planning, surgical intervention, and insurance reimbursement. It also helps in tracking congenital conditions for epidemiological studies and improving patient outcomes.
