2025 ICD-10-CM code N43.4
Spermatocele of epididymis. A cystic dilation of the epididymis containing dead spermatozoa.
Medical necessity for intervention is determined by the presence of symptoms, such as pain, discomfort, or cosmetic concerns, related to the spermatocele.Asymptomatic spermatoceles typically do not require intervention. Medical necessity for any procedures related to the spermatocele should be clearly documented.
Diagnosis and management of this condition falls under the purview of urologists or primary care physicians with expertise in male reproductive health.Clinical responsibility includes physical examination, differentiating spermatocele from other testicular conditions, and recommending appropriate management strategies.
In simple words: A spermatocele is a fluid-filled sac located on the epididymis, next to the testicle, containing dead sperm. This sac can sometimes cause the testicle to swell.
Spermatocele of epididymis is a condition characterized by a fluid-filled sac (cyst) within the epididymis.The epididymis is a coiled tube located adjacent to the testicle where sperm mature and are stored. The cyst typically contains non-viable sperm.This condition can sometimes lead to swelling of the affected testicle.
Example 1: A 30-year-old male presents with painless swelling in his scrotum. Upon examination, a small, fluid-filled cyst is palpated on the epididymis, separate from the testicle, consistent with a spermatocele., A 50-year-old male undergoes a routine physical examination.An incidental finding of a small spermatocele is noted on the epididymis.The patient is asymptomatic., A 40-year-old male reports a feeling of heaviness or fullness in the scrotum and mild discomfort.Examination reveals a moderate-sized spermatocele associated with mild testicular enlargement.
Documentation should include details of the physical examination findings, including size and location of the spermatocele, presence or absence of pain or discomfort, and any associated symptoms.Diagnostic imaging, such as ultrasound, may be documented if performed to confirm the diagnosis and differentiate it from other conditions.
- Specialties:Urology, Primary Care
- Place of Service:Office, Outpatient Hospital, Independent Clinic