Abnormal radiologic findings on diagnostic imaging of testis
ICD-10 R93.81 is a billable code used to indicate a diagnosis of abnormal radiologic findings on diagnostic imaging of testis.
Abnormal radiologic findings on diagnostic imaging of the testis refer to any unusual or unexpected results observed during imaging studies such as ultrasound, CT scans, or MRI. These findings may indicate various underlying conditions, including tumors, cysts, infections, or trauma. Symptoms associated with abnormal findings can include pain, swelling, or palpable masses in the scrotal area. Common causes of abnormal findings include testicular torsion, epididymitis, or neoplasms. The diagnostic approach typically involves correlating imaging results with clinical symptoms and may require further evaluation through biopsy or additional imaging. Accurate coding is essential for proper treatment planning and reimbursement, necessitating thorough documentation of the imaging findings and any related clinical symptoms.
Documentation must include detailed descriptions of imaging findings, clinical correlation, and any follow-up actions taken.
Patients presenting with scrotal pain or swelling, requiring imaging to rule out serious conditions.
Ensure that all imaging results are clearly linked to the patient's presenting symptoms.
Acute care documentation must capture the urgency of the situation, imaging results, and immediate treatment decisions.
Acute scrotal pain due to suspected torsion or trauma, necessitating rapid imaging.
Document the time of presentation and any immediate interventions performed.
Used when imaging is performed to evaluate abnormal findings in the testis.
Document the reason for the ultrasound, findings, and any follow-up recommendations.
Ensure that the ultrasound report is linked to the clinical symptoms.
R93.81 should be used when there are abnormal findings on diagnostic imaging of the testis that are not classified elsewhere, and there is a clear link to clinical symptoms.
