Hidden penis
ICD-10 Q55.64 is a billable code used to indicate a diagnosis of hidden penis.
Hidden penis, also known as buried penis, is a congenital condition characterized by the penis being retracted into the pubic area, making it difficult to visualize or palpate. This condition can occur due to various factors, including excessive fat pad in the pubic region, penile skin tethering, or a short penile shaft. It is often associated with other congenital malformations of the genital organs, such as hypospadias, where the urethral opening is located on the underside of the penis, and cryptorchidism, where one or both testicles fail to descend into the scrotum. In some cases, hidden penis may also be linked to ambiguous genitalia, where the external genitalia do not clearly appear male or female, and uterine malformations in females. Diagnosis typically involves a physical examination and may require imaging studies to assess the anatomy and any associated anomalies. Treatment options may include surgical intervention to correct the positioning of the penis and address any underlying conditions. Early diagnosis and management are crucial to prevent complications such as urinary obstruction or psychological distress.
Pediatric documentation should include detailed descriptions of the physical examination findings, any associated congenital anomalies, and the impact on the child's health and development.
Common scenarios include newborns presenting with hidden penis during routine examinations or referrals for surgical evaluation due to urinary issues.
Consideration must be given to the psychosocial impact on the child and family, as well as the timing of surgical interventions.
Genetic documentation should include family history, potential syndromic associations, and any genetic testing results that may inform the diagnosis.
Scenarios may involve genetic counseling for families with a history of congenital anomalies or syndromes associated with hidden penis.
Geneticists should consider the potential for chromosomal abnormalities that may be linked to the condition, such as Turner syndrome or Klinefelter syndrome.
Often performed in conjunction with correction of hidden penis.
Documentation must include the indication for circumcision and any associated procedures.
Pediatric urologists should ensure that all aspects of the surgical procedure are documented.
Directly related to the management of hidden penis.
Detailed operative notes and pre-operative assessments are essential.
Urologists must document the rationale for surgical intervention and any complications.
Common associated conditions include hypospadias, cryptorchidism, and ambiguous genitalia. These conditions may require coordinated management and coding to reflect the complexity of the patient's presentation.
