Retractile testis
ICD-10 Q55.22 is a billable code used to indicate a diagnosis of retractile testis.
Retractile testis is a condition characterized by the ability of the testis to move between the scrotum and the inguinal canal due to the contraction of the cremaster muscle. This condition is often considered a variant of normal testicular descent and is typically observed in infants and young children. In retractile testis, the testis can be manually pushed into the scrotum but may retract back into the inguinal canal, especially in response to temperature changes or physical stimulation. While it is not classified as cryptorchidism, it requires careful monitoring as it may lead to complications such as testicular torsion or infertility if not properly managed. The condition is often diagnosed during routine pediatric examinations and may resolve spontaneously as the child grows. However, if the testis remains retractile beyond a certain age, surgical intervention may be considered to prevent potential complications. Understanding the nuances of retractile testis is crucial for accurate coding and management in pediatric care.
Detailed physical examination notes, including testicular position and mobility, and any associated findings.
Routine well-child visits where retractile testis is identified, or referrals for surgical evaluation.
Consideration of the child's age and development in determining the need for intervention.
Family history of congenital conditions, genetic counseling notes if applicable.
Evaluation of children with retractile testis in the context of other congenital anomalies.
Assessment for potential genetic syndromes associated with genital malformations.
Surgical intervention for retractile testis if indicated.
Surgical notes detailing the procedure and indications.
Urology may be involved for surgical management.
Retractile testis is characterized by the testis's ability to move between the scrotum and inguinal canal, while cryptorchidism refers to a testis that is not located in the scrotum at all. Accurate documentation is essential to differentiate between these conditions.
