Hypospadias, penoscrotal
ICD-10 Q54.2 is a billable code used to indicate a diagnosis of hypospadias, penoscrotal.
Hypospadias is a congenital malformation characterized by the abnormal positioning of the urethral opening on the ventral surface of the penis. In penoscrotal hypospadias, the urethral opening is located at the junction of the penis and scrotum, which can lead to complications such as urinary obstruction, difficulties with sexual function, and psychosocial issues. This condition arises during fetal development when the urethral folds fail to fuse properly, resulting in an incomplete formation of the urethra. Hypospadias can vary in severity, and it is often associated with other congenital anomalies, including cryptorchidism (undescended testicles) and disorders of sexual development. Surgical intervention is typically required to correct the malformation, with the goal of achieving a functional and cosmetically acceptable outcome. Accurate coding of hypospadias is crucial for proper management and treatment planning, as well as for tracking the incidence of this condition in pediatric populations.
Detailed clinical notes including the type of hypospadias, associated anomalies, and treatment plans.
Infants presenting with hypospadias during routine examinations, referrals for surgical correction, and follow-up visits post-surgery.
Consideration of psychosocial impacts on the child and family, as well as the timing of surgical intervention.
Genetic evaluation reports, family history of congenital conditions, and any chromosomal studies performed.
Assessment of patients with hypospadias for potential genetic syndromes, counseling families about inheritance patterns.
Understanding the genetic basis of hypospadias and its association with other congenital anomalies.
Used for surgical correction of hypospadias in pediatric patients.
Operative reports detailing the type of repair performed and any associated procedures.
Pediatric urologists typically perform these procedures, requiring specific documentation of surgical techniques.
Accurate coding of hypospadias is essential for proper treatment planning, tracking the incidence of the condition, and ensuring appropriate reimbursement for surgical interventions. It also aids in identifying potential associated conditions that may require additional management.
