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v1.0.0
ICD-10 Guide
ICD-10 CodesN50.3

N50.3

Billable

Cyst of epididymis

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

Code Description

ICD-10 N50.3 is a billable code used to indicate a diagnosis of cyst of epididymis.

Key Diagnostic Point:

A cyst of the epididymis is a fluid-filled sac that forms in the epididymis, a coiled tube located at the back of the testicle responsible for storing and maturing sperm. These cysts are typically benign and often asymptomatic, but they can sometimes cause discomfort or pain, particularly if they become large. The cysts are usually filled with clear fluid and can vary in size. Diagnosis is often made through physical examination and imaging studies such as ultrasound. Treatment is generally not required unless the cyst causes significant symptoms, in which case surgical intervention may be considered. It is important to differentiate epididymal cysts from other conditions such as spermatocele or testicular tumors, as the management and implications for male reproductive health can differ significantly. Regular monitoring may be advised for asymptomatic cases, while symptomatic cases may require further evaluation and management.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear clinical definition and presentation
  • Commonly diagnosed through routine examinations
  • Low likelihood of complications
  • Standard treatment protocols

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to differentiate from similar conditions
  • Incorrect coding of associated procedures
  • Lack of follow-up documentation

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 pain or discomfort in the testicular region.

Billing Considerations

Ensure clear documentation of the size and characteristics of the cyst, as well as any associated symptoms.

Radiology

Documentation Requirements

Clear imaging reports detailing the size, location, and characteristics of the cyst.

Common Clinical Scenarios

Ultrasound evaluations of scrotal masses.

Billing Considerations

Accurate descriptions in imaging reports are crucial for proper coding and diagnosis.

Coding Guidelines

Inclusion Criteria

Use N50.3 When
  • Follow official coding guidelines for the diagnosis of cysts, ensuring that the documentation supports the diagnosis and any associated procedures
  • Include details on the size and symptoms of the cyst

Exclusion Criteria

Do NOT use N50.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54840CPT Code

Epididymectomy

Clinical Scenario

Performed when a cyst causes significant symptoms.

Documentation Requirements

Document the indication for surgery and findings during the procedure.

Specialty Considerations

Urologists should ensure that all pre-operative evaluations are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like cysts of the epididymis, 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 conditions like cysts of the epididymis, 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 cyst of the epididymis?

Most cysts are asymptomatic, but they can cause discomfort or pain if they grow large. Patients may also notice a lump in the scrotum.

How is a cyst of the epididymis diagnosed?

Diagnosis is typically made through physical examination and confirmed with ultrasound imaging.

Is treatment always necessary for a cyst of the epididymis?

No, treatment is not always necessary. Many cysts are asymptomatic and do not require intervention.