Unilateral inguinal testis
ICD-10 Q53.112 is a billable code used to indicate a diagnosis of unilateral inguinal testis.
Unilateral inguinal testis, also known as unilateral cryptorchidism, is a congenital condition where one testis fails to descend into the scrotum and is located in the inguinal canal. This condition is more common in premature infants and can be associated with other congenital anomalies. The undescended testis may lead to complications such as infertility, testicular torsion, and an increased risk of testicular cancer if not corrected. Diagnosis typically involves physical examination and may be confirmed through imaging studies. Treatment usually involves surgical intervention, known as orchidopexy, to relocate the testis into the scrotum. Early intervention is crucial to minimize potential complications and ensure normal development of the reproductive system. The condition may also be associated with other congenital malformations of the genital organs, such as hypospadias or ambiguous genitalia, necessitating a comprehensive evaluation of the patient's overall health and development.
Documentation should include detailed physical examination findings, any associated congenital anomalies, and treatment plans.
Common scenarios include routine well-child visits where undescended testis is discovered, or referrals for surgical intervention.
Consideration should be given to the child's age, as the timing of intervention may vary based on developmental milestones.
Genetic counseling notes should document any family history of cryptorchidism or related conditions, as well as any genetic syndromes associated with the condition.
Scenarios may include genetic evaluations for children with multiple congenital anomalies or those with a family history of testicular dysgenesis.
Genetic testing may be indicated in cases of associated anomalies, and documentation should reflect the rationale for testing.
Performed to correct undescended testis in children.
Operative report detailing the procedure and findings.
Pediatric urologists typically perform this procedure, and documentation should reflect their specialty.
Accurate coding of Q53.112 is crucial for ensuring appropriate treatment and follow-up care for children with unilateral inguinal testis. It also impacts data collection for congenital anomalies and can influence reimbursement for surgical interventions.
