Ectopic perineal testis, bilateral
ICD-10 Q53.22 is a billable code used to indicate a diagnosis of ectopic perineal testis, bilateral.
Ectopic perineal testis, bilateral, is a congenital condition characterized by the abnormal positioning of one or both testicles in the perineal region rather than the scrotum. This condition is a form of cryptorchidism, where the testis fails to descend into the scrotum during fetal development. The ectopic location can lead to complications such as infertility, testicular torsion, and malignancy if left untreated. Diagnosis typically involves physical examination and imaging studies, such as ultrasound, to confirm the location of the testes. Surgical intervention, often through orchidopexy, is usually recommended to reposition the testes into the scrotum. This condition may be associated with other congenital malformations of the genital organs, such as hypospadias or ambiguous genitalia, necessitating a comprehensive evaluation of the patient's urogenital system. Early diagnosis and management are crucial to prevent long-term complications.
Detailed physical examination findings, imaging results, and surgical notes are essential for accurate coding.
Common scenarios include newborns presenting with undescended testes or referrals for surgical correction.
Consideration of associated conditions such as hypospadias or other genital anomalies is crucial for comprehensive care.
Genetic evaluation may be necessary to assess for syndromic associations with ectopic testes.
Genetic counseling for families with a history of congenital anomalies or syndromes associated with cryptorchidism.
Documentation of family history and potential genetic syndromes is important for accurate coding.
Performed to correct bilateral ectopic testes.
Operative report detailing the procedure and findings.
Pediatric urology specialists typically perform this procedure.
Coding bilateral ectopic perineal testis accurately reflects the complexity of the condition and ensures appropriate management and follow-up care. It also aids in identifying potential associated anomalies and informs treatment decisions.
