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ICD-10 Guide
ICD-10 CodesN44.2

N44.2

Billable

Benign cyst of testis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N44.2 is a billable code used to indicate a diagnosis of benign cyst of testis.

Key Diagnostic Point:

A benign cyst of the testis is a fluid-filled sac that forms within the testicular tissue. These cysts are typically asymptomatic and are often discovered incidentally during imaging studies or physical examinations. They can vary in size and may be located in the epididymis or within the testicular parenchyma. While benign cysts are not cancerous, they can sometimes cause discomfort or swelling, leading to concerns about testicular health. Differential diagnoses include hydrocele, which is a fluid accumulation around the testis, and other testicular disorders such as orchitis or tumors. Management usually involves monitoring unless the cyst causes significant symptoms or complications. In cases where the cyst is symptomatic, surgical intervention may be considered. Understanding the nature of these cysts is crucial for addressing male infertility issues, as they can sometimes be associated with other testicular disorders. Proper diagnosis and management are essential to ensure optimal reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign cysts and malignant lesions
  • Potential overlap with other testicular conditions like hydrocele and orchitis
  • Variability in presentation and symptoms
  • Need for imaging studies to confirm diagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms or clinical findings
  • Failure to differentiate from malignant conditions
  • Misclassification of cysts as tumors
  • Lack of imaging studies in the medical record

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Evaluation of scrotal masses, management of testicular pain, and assessment of male infertility.

Billing Considerations

Ensure clear documentation of the cyst's characteristics and any associated symptoms to support the diagnosis.

Andrology

Documentation Requirements

Comprehensive assessment of male reproductive health, including semen analysis and hormonal evaluations.

Common Clinical Scenarios

Investigation of male infertility and reproductive health issues related to testicular conditions.

Billing Considerations

Document any impact of the cyst on fertility and related treatments.

Coding Guidelines

Inclusion Criteria

Use N44.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, including any relevant imaging studies and clinical findings

Exclusion Criteria

Do NOT use N44.2 When
  • Exclude conditions that may complicate the diagnosis

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Excision of testicular cyst

Clinical Scenario

When a benign cyst is symptomatic and requires surgical intervention.

Documentation Requirements

Document the indication for surgery, findings during the procedure, and postoperative care.

Specialty Considerations

Urologists should ensure that the surgical report clearly states the diagnosis and rationale for excision.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign conditions like testicular cysts, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign conditions like testicular cysts, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of a benign cyst of the testis?

Most benign cysts are asymptomatic, but some patients may experience discomfort or swelling in the scrotum. Regular monitoring is recommended unless symptoms worsen.

How is a benign cyst of the testis diagnosed?

Diagnosis is typically made through a physical examination followed by ultrasound imaging, which helps differentiate it from other conditions such as hydrocele or tumors.