Bilateral intraabdominal testes
ICD-10 Q53.211 is a billable code used to indicate a diagnosis of bilateral intraabdominal testes.
Bilateral intraabdominal testes, also known as bilateral cryptorchidism, is a congenital condition where both testes fail to descend into the scrotum and remain located within the abdominal cavity. This condition is often diagnosed during a physical examination in infancy or early childhood. The failure of the testes to descend can be attributed to various factors, including hormonal imbalances, genetic predispositions, and anatomical abnormalities. The condition is associated with an increased risk of infertility, testicular cancer, and other complications if not addressed. Treatment typically involves surgical intervention, such as orchidopexy, to relocate the testes into the scrotum, ideally performed before the child reaches one year of age. Early diagnosis and management are crucial to mitigate long-term health risks associated with this condition.
Pediatric documentation must include growth parameters, developmental milestones, and detailed surgical notes.
Common scenarios include routine well-child visits where cryptorchidism is identified or referrals for surgical correction.
Consideration of the child's age and potential psychological impacts of the condition and its treatment.
Genetic documentation should include family history, potential syndromic associations, and genetic testing results if applicable.
Genetic counseling for families with a history of cryptorchidism or related congenital anomalies.
Awareness of genetic syndromes that may present with cryptorchidism, such as Klinefelter syndrome.
Performed to correct bilateral cryptorchidism.
Surgical notes detailing the procedure and findings.
Pediatric urologists often perform this procedure.
Long-term implications include increased risks of infertility and testicular cancer. Early surgical intervention is crucial to mitigate these risks.
