Abdominal testis, bilateral
ICD-10 Q53.21 is a billable code used to indicate a diagnosis of abdominal testis, bilateral.
Bilateral abdominal testis, also known as bilateral cryptorchidism, is a congenital condition where both testes fail to descend into the scrotum and remain located in the abdominal cavity. This condition is often diagnosed during routine pediatric examinations or when a child presents with issues related to undescended testes. The failure of the testes to descend can lead to various complications, including infertility, increased risk of testicular cancer, and potential psychological effects due to abnormal genital appearance. The condition is associated with other congenital malformations, such as hypospadias, where the urethral opening is not located at the tip of the penis, and ambiguous genitalia, where the external genitalia do not clearly indicate male or female. The management of bilateral abdominal testis typically involves surgical intervention, such as orchidopexy, to relocate the testes into the scrotum, ideally performed before the child reaches one year of age to minimize risks of complications.
Pediatric documentation must include detailed physical examination findings, family history of congenital conditions, and any associated anomalies.
Common scenarios include routine examinations revealing undescended testes, referrals for surgical intervention, and follow-up visits post-orchidopexy.
Accurate coding requires careful attention to the timing of diagnosis and intervention, as well as any associated conditions.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with the condition.
Genetic counseling may be needed for families with a history of congenital anomalies, and genetic testing may be indicated to rule out syndromic causes.
Consideration of chromosomal abnormalities that may be associated with cryptorchidism, such as Klinefelter syndrome, is essential.
Performed to correct bilateral abdominal testis in a child.
Surgical report detailing the procedure and findings.
Pediatric urologists should ensure accurate coding of the procedure based on the specific surgical technique used.
Long-term implications can include infertility, increased risk of testicular cancer, and potential psychological effects due to abnormal genital appearance. Early surgical intervention is recommended to mitigate these risks.
