2025 ICD-10-CM code N43.3
Hydrocele, unspecified.A hydrocele is a fluid-filled sac surrounding a testicle that causes swelling in the scrotum.
Medical necessity for treatment of a hydrocele is based on the severity of symptoms, the size of the hydrocele, presence of complications (such as infection), and impact on the patient's quality of life.
Diagnosis and management of a hydrocele, which may include physical examination, diagnostic testing (such as ultrasound), and determining the underlying cause if possible.Treatment options may range from watchful waiting to surgical intervention depending on the severity and underlying cause.
- Diseases of the genitourinary system (N00-N99)
- N43: Hydrocele and spermatoceleN43.3: Hydrocele, unspecified
In simple words: Fluid has accumulated around your testicle, causing swelling in the scrotum. The specific reason or type of fluid buildup isn't specified by this code.
Hydrocele, unspecified. This code encompasses cases where fluid has accumulated around the testicle within the scrotum, causing swelling.The specific type of hydrocele is not specified.Includes hydrocele of spermatic cord, testis or tunica vaginalis.
Example 1: A newborn male presents with a painless scrotal swelling, diagnosed as a hydrocele, unspecified. As many hydroceles in newborns resolve spontaneously, watchful waiting is recommended. , A 30-year-old male experiences scrotal swelling and discomfort.An ultrasound confirms a hydrocele, but no specific cause is identified.The physician recommends surgical removal of the hydrocele due to the patient's discomfort., A 65-year-old male presents with a large, painless scrotal swelling.Following an ultrasound, a hydrocele, unspecified, is diagnosed.Due to the size of the hydrocele, surgical intervention is planned.
Documentation should include the location and size of the swelling, presence or absence of pain or discomfort, results of any diagnostic imaging (e.g., ultrasound), and any associated signs or symptoms. If the hydrocele is thought to be secondary to another condition (e.g., infection, trauma), this should also be documented.
** Excludes1: congenital hydrocele (P83.5). Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth and the puerperium (O00-O9A), congenital malformations, deformations and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94).
- Payment Status: Billable/Specific Code
- Specialties:Urology, Pediatrics, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital