Unspecified congenital malformations of testis and scrotum
ICD-10 Q55.20 is a billable code used to indicate a diagnosis of unspecified congenital malformations of testis and scrotum.
Congenital malformations of the testis and scrotum encompass a variety of conditions that can affect the male genitalia, often identified at birth or during early childhood. These malformations may include conditions such as cryptorchidism (undescended testis), hypospadias (abnormal placement of the urethral opening), and ambiguous genitalia, where the external genitalia do not clearly indicate male or female. Uterine malformations, while primarily affecting females, can also be relevant in the context of genetic syndromes that affect both sexes. The complexity of these conditions often requires multidisciplinary management, including urology, endocrinology, and genetics, to ensure appropriate treatment and follow-up. Accurate coding is essential for proper reimbursement and tracking of congenital conditions, as these malformations can have significant implications for future reproductive health and psychosocial development.
Pediatric documentation should include detailed descriptions of the malformation, associated symptoms, and any interventions performed. Growth and developmental assessments are also crucial.
Common scenarios include newborns presenting with undescended testis or hypospadias, requiring surgical intervention or referral to a specialist.
Consideration must be given to the age of the patient and the timing of any surgical interventions, as well as the psychosocial implications of genital malformations.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with the malformations.
Scenarios may involve genetic counseling for families with a history of congenital malformations or syndromes that include genital anomalies.
Geneticists must consider the potential for chromosomal abnormalities that may accompany these malformations, necessitating thorough genetic evaluation.
Used for surgical correction of cryptorchidism.
Operative report detailing the procedure and findings.
Urology specialists typically perform this procedure.
For Q55.20, it is essential to document the specific type of congenital malformation, any associated conditions, and the treatment plan. Include details from physical examinations, imaging studies, and genetic evaluations if applicable.
