Bilateral high scrotal testes
ICD-10 Q53.23 is a billable code used to indicate a diagnosis of bilateral high scrotal testes.
Bilateral high scrotal testes, also known as bilateral cryptorchidism, is a congenital condition characterized by the failure of both testes to descend into the scrotum. This condition is typically diagnosed during infancy or early childhood and can be associated with other congenital malformations of the genital organs. The testes may be located in the inguinal canal or higher in the abdominal cavity. The condition can lead to complications such as infertility, testicular torsion, and an increased risk of testicular cancer if not treated. Management often involves surgical intervention, such as orchidopexy, to reposition the testes into the scrotum. The condition may also be associated with other anomalies, including hypospadias, where the urethral opening is not located at the tip of the penis, and ambiguous genitalia, where the external genitalia do not clearly indicate male or female. Early diagnosis and treatment are crucial to prevent long-term complications.
Detailed physical examination findings, including the location of the testes, and any associated anomalies.
Infants presenting with undescended testes during routine examinations or referrals from primary care.
Consideration of the timing of surgical intervention and follow-up care is essential for accurate coding.
Genetic evaluations to rule out syndromic causes of cryptorchidism and associated anomalies.
Cases where cryptorchidism is part of a genetic syndrome, requiring genetic counseling.
Documentation of family history and genetic testing results may be necessary for comprehensive coding.
Performed to correct bilateral high scrotal testes.
Operative report detailing the procedure and findings.
Pediatric urologists should ensure accurate coding of the procedure in conjunction with the diagnosis.
Accurate coding of bilateral high scrotal testes is crucial for proper treatment planning, reimbursement, and tracking of congenital conditions. It ensures that patients receive appropriate care and that healthcare providers are compensated for the services rendered.
