Torsion of testis, unspecified
ICD-10 N44.00 is a billable code used to indicate a diagnosis of torsion of testis, unspecified.
Torsion of the testis is a surgical emergency characterized by the twisting of the spermatic cord, which compromises blood flow to the testis. This condition can lead to ischemia and necrosis if not promptly addressed. The torsion may occur in any age group but is most common in adolescents and young adults. Symptoms typically include sudden onset of severe scrotal pain, swelling, and sometimes nausea or vomiting. Physical examination may reveal a high-riding testis or an absent cremasteric reflex. Diagnosis is often confirmed through ultrasound imaging, which may show reduced or absent blood flow to the affected testis. Immediate surgical intervention is usually required to untwist the cord and restore blood flow, and in some cases, orchidopexy may be performed to prevent recurrence. The condition can have implications for male fertility if not treated in a timely manner, as prolonged torsion can lead to testicular atrophy. Understanding the urgency and clinical presentation of testicular torsion is crucial for effective management and coding.
Detailed clinical notes including symptom onset, physical exam findings, and imaging results.
Acute scrotal pain in adolescents, post-operative follow-up for testicular torsion.
Ensure documentation reflects urgency and any surgical interventions performed.
Comprehensive assessment of acute scrotal pain, including triage notes and initial management.
Patients presenting with acute scrotal pain requiring immediate evaluation.
Document time to treatment and any imaging performed to support diagnosis.
Performed to correct testicular torsion and prevent recurrence.
Operative report detailing the procedure and findings.
Urologists should ensure that the urgency of the condition is documented.
Common symptoms include sudden onset of severe scrotal pain, swelling, and sometimes nausea or vomiting. Physical examination may reveal a high-riding testis or an absent cremasteric reflex.
Diagnosis is primarily clinical, supported by imaging studies such as ultrasound to assess blood flow to the testis.
Immediate surgical intervention is required to untwist the spermatic cord and restore blood flow. Orchidopexy may be performed to prevent recurrence.
