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v1.0.0
ICD-10 Guide
ICD-10 CodesQ55.63

Q55.63

Billable

Congenital torsion of penis

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

Code Description

ICD-10 Q55.63 is a billable code used to indicate a diagnosis of congenital torsion of penis.

Key Diagnostic Point:

Congenital torsion of the penis is a rare condition characterized by an abnormal twisting of the penile shaft, which can occur during fetal development. This malformation may lead to functional issues, including difficulties with urination and potential complications during sexual development. The torsion can vary in severity, and in some cases, it may be associated with other congenital anomalies of the genitalia, such as hypospadias or cryptorchidism. Diagnosis is typically made through physical examination, and imaging may be utilized to assess the degree of torsion and any associated anomalies. Treatment often involves surgical intervention to correct the torsion and address any coexisting conditions. Early intervention is crucial to prevent complications and ensure normal development of the genitalia. The condition is classified under congenital malformations of the genital organs, which also includes conditions like hypospadias, cryptorchidism, and ambiguous genitalia, highlighting the importance of comprehensive evaluation and management in affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential association with other congenital anomalies
  • Need for detailed documentation of physical examination findings
  • Surgical intervention may require additional coding for procedures

Audit Risk Factors

  • Inadequate documentation of the condition's severity
  • Failure to document associated congenital anomalies
  • Incorrect coding of surgical procedures related to the condition
  • Misinterpretation of the diagnosis leading to incorrect codes

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation must include detailed physical examination findings, family history of congenital conditions, and any associated anomalies.

Common Clinical Scenarios

Common scenarios include newborns presenting with penile torsion during routine examinations or referrals for surgical correction.

Billing Considerations

Consideration of the child's age and developmental stage is crucial for accurate coding and treatment planning.

Genetics

Documentation Requirements

Genetic documentation should include family history of congenital malformations, genetic testing results, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling may be required for families with a history of congenital conditions, including discussions about recurrence risks.

Billing Considerations

Awareness of syndromic associations with congenital torsion is important for accurate coding and management.

Coding Guidelines

Inclusion Criteria

Use Q55.63 When
  • Official coding guidelines for congenital conditions emphasize the need for accurate documentation of the diagnosis, associated anomalies, and any surgical interventions
  • Coders should refer to the ICD
  • CM guidelines for congenital malformations and ensure compliance with coding conventions

Exclusion Criteria

Do NOT use Q55.63 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54160CPT Code

Circumcision, surgical excision

Clinical Scenario

Often performed in conjunction with correction of congenital torsion.

Documentation Requirements

Document indication for surgery and any associated conditions.

Specialty Considerations

Pediatric urologists should ensure accurate coding for surgical interventions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q55.63 provides a distinct code for congenital torsion, enhancing clarity in patient records.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. Q55.63 provides a distinct code for congenital torsion, enhancing clarity in patient records.

Reimbursement & Billing Impact

reimbursement processes. Q55.63 provides a distinct code for congenital torsion, enhancing clarity in patient records.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common associated conditions with congenital torsion of the penis?

Common associated conditions include hypospadias, cryptorchidism, and ambiguous genitalia. These conditions may require comprehensive evaluation and management in conjunction with congenital torsion.