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v1.0.0
ICD-10 Guide
ICD-10 CodesQ53.111

Q53.111

Billable

Unilateral intraabdominal testis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q53.111 is a billable code used to indicate a diagnosis of unilateral intraabdominal testis.

Key Diagnostic Point:

Unilateral intraabdominal testis, also known as cryptorchidism, is a congenital condition where one testis fails to descend into the scrotum and remains located within the abdominal cavity. This condition is often diagnosed during infancy or early childhood, typically during routine physical examinations. The undescended testis may be palpable in the inguinal canal or may not be palpable at all, necessitating imaging studies for confirmation. The condition can lead to complications such as infertility, testicular torsion, and an increased risk of testicular cancer if not addressed. Treatment usually involves surgical intervention, known as orchidopexy, to relocate the testis into the scrotum. Early diagnosis and management are crucial to mitigate long-term health risks associated with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and diagnosis
  • Need for imaging studies to confirm the condition
  • Potential for associated anomalies in genital development
  • Documentation of surgical interventions and follow-up care

Audit Risk Factors

  • Inadequate documentation of the condition's specifics
  • Failure to document associated anomalies
  • Incorrect coding of surgical procedures performed
  • Misinterpretation of imaging results

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed physical examination findings, imaging results, and treatment plans must be documented. Growth and development assessments are also important.

Common Clinical Scenarios

Infants presenting with undescended testis during routine check-ups, referrals for surgical intervention, and follow-up visits post-orchidopexy.

Billing Considerations

Consideration of the patient's age and developmental milestones is crucial for accurate coding and management.

Genetics

Documentation Requirements

Family history of congenital conditions, genetic counseling notes, and any chromosomal studies performed should be documented.

Common Clinical Scenarios

Cases where cryptorchidism is part of a syndrome or associated with other genetic anomalies, requiring genetic evaluation.

Billing Considerations

Understanding the genetic implications and potential syndromic associations is essential for accurate coding.

Coding Guidelines

Inclusion Criteria

Use Q53.111 When
  • Follow the official ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding based on clinical findings and treatment

Exclusion Criteria

Do NOT use Q53.111 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54660CPT Code

Orchidopexy

Clinical Scenario

Used for surgical correction of undescended testis.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Pediatric surgeons must document the specifics of the surgical approach and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for greater specificity in coding congenital conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for greater specificity in coding congenital conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Pediatrics - Cryptorchidism

Coding & Billing References

  • •
    American Academy of Pediatrics - Cryptorchidism

Frequently Asked Questions

What is the significance of coding unilateral intraabdominal testis?

Accurate coding of unilateral intraabdominal testis is crucial for tracking congenital conditions, ensuring appropriate treatment, and understanding potential long-term health implications for the patient.