Other and unspecified congenital malformations of testis and scrotum
ICD-10 Q55.2 is a billable code used to indicate a diagnosis of other and unspecified congenital malformations of testis and scrotum.
Congenital malformations of the testis and scrotum encompass a variety of conditions that can affect the development and function of male genital organs. This includes conditions such as hypospadias, where the urethral opening is located on the underside of the penis rather than at the tip, and cryptorchidism, which is characterized by undescended testicles. Ambiguous genitalia, where the external genitalia do not clearly indicate male or female, can also fall under this category. Uterine malformations, while primarily affecting females, can be relevant in cases of intersex conditions where both male and female reproductive structures may be present. These congenital anomalies can lead to complications such as infertility, increased risk of malignancy, and psychosocial issues. Accurate coding is essential for proper management and treatment planning, as well as for research and epidemiological studies.
Detailed pediatric history and physical examination findings, including gestational history and family history of congenital anomalies.
Evaluation of newborns with ambiguous genitalia, management of cryptorchidism, and surgical correction of hypospadias.
Consideration of psychosocial impacts on the child and family, as well as the need for multidisciplinary care.
Genetic testing results, family pedigree, and any chromosomal analysis relevant to the congenital condition.
Genetic counseling for families with a history of congenital malformations, and assessment of syndromic conditions that may include genital anomalies.
Understanding the genetic basis of congenital malformations and the implications for family planning.
Used for surgical correction of cryptorchidism.
Operative report detailing the procedure and findings.
Pediatric urology may be involved in the surgical management.
Document the specific congenital malformation, any associated anomalies, and the clinical management plan. Include details from physical examinations, imaging studies, and genetic testing results.
