Unilateral non-palpable testicle
ICD-10 R39.83 is a billable code used to indicate a diagnosis of unilateral non-palpable testicle.
Unilateral non-palpable testicle refers to a condition where one testicle is not able to be felt during a physical examination. This may occur due to various reasons, including congenital absence, cryptorchidism (undescended testicle), or testicular torsion leading to necrosis. Patients may present with symptoms such as a lack of scrotal fullness on one side, potential pain if torsion is involved, or may be asymptomatic. Clinical examination often reveals an empty hemiscrotum, and further evaluation may include imaging studies such as ultrasound to assess for the presence of the testicle or any associated abnormalities. Laboratory findings may not be specific but can include hormonal evaluations if endocrine causes are suspected. Accurate diagnosis is crucial as it can impact fertility and the risk of testicular cancer. The condition is often diagnosed in childhood but can be identified in adults during routine examinations or evaluations for infertility.
Detailed history and physical examination findings, including any imaging results.
Routine physical exams revealing an empty hemiscrotum, evaluation of infertility.
Consideration of hormonal evaluations if endocrine issues are suspected.
Acute care notes, including pain assessment and imaging results.
Acute scrotal pain with suspicion of torsion or trauma.
Rapid assessment and documentation are critical in emergency settings.
Used when surgical intervention is required for undescended testicle.
Surgical notes detailing the procedure and findings.
Urology specialists will typically perform this procedure.
A non-palpable testicle can indicate conditions such as cryptorchidism or testicular agenesis, which may affect fertility and increase the risk of testicular cancer. Early diagnosis and management are crucial.
