Mumps orchitis
ICD-10 B26.0 is a billable code used to indicate a diagnosis of mumps orchitis.
Mumps orchitis is a viral infection characterized by inflammation of one or both testicles, typically occurring as a complication of mumps, a contagious viral disease caused by the mumps virus. The condition is most commonly seen in post-pubertal males, where it can lead to significant discomfort, swelling, and potential long-term complications such as infertility. The mumps virus is transmitted through respiratory droplets or direct contact with an infected individual. Diagnosis is primarily clinical, supported by laboratory tests such as serology for mumps-specific IgM antibodies or PCR testing of saliva or urine. In acute cases, patients may present with unilateral or bilateral testicular swelling, pain, fever, and malaise. While mumps orchitis is generally self-limiting, supportive care is essential, and antiviral treatments are not typically indicated as there are no specific antiviral agents for mumps. The condition underscores the importance of vaccination with the MMR (measles, mumps, rubella) vaccine, which has significantly reduced the incidence of mumps and its complications.
Detailed clinical notes on testicular examination, pain assessment, and any imaging studies performed.
Evaluation of acute scrotal pain, swelling, and differential diagnosis of testicular torsion.
Ensure clear documentation of the onset of symptoms and any relevant history of mumps or vaccination.
Comprehensive history of exposure, vaccination status, and laboratory test results.
Management of viral infections with complications, including mumps orchitis.
Focus on the epidemiology of mumps and the importance of vaccination in preventing outbreaks.
Used to confirm diagnosis of mumps in a patient presenting with orchitis.
Document the reason for testing and the clinical findings leading to the test.
Urology and Infectious Disease specialists should ensure comprehensive documentation of the patient's history and presenting symptoms.
Common symptoms include testicular swelling, pain, fever, and malaise. Patients may also experience nausea and vomiting.
Diagnosis is primarily clinical, supported by laboratory tests such as serology for mumps-specific IgM antibodies or PCR testing.
Treatment is generally supportive, focusing on pain management and rest. Antiviral medications are not typically used.
Yes, particularly in post-pubertal males, mumps orchitis can lead to complications such as testicular atrophy and infertility.
