2025 ICD-10-CM code N44.00
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Diseases of male genital organs (N40-N53) Diseases of the genitourinary system (N00-N99) Feed
Torsion of testis, unspecified.
Medical necessity is established by the presence of acute testicular torsion, a surgical emergency that requires immediate detorsion to prevent testicular ischemia and necrosis.The severity of pain, physical examination findings, and imaging studies support the diagnosis and justify the need for intervention.
Urologist or surgeon specializing in male reproductive health. The clinical responsibility involves prompt diagnosis (often through physical examination and imaging), emergency surgical intervention (detorsion), and post-operative care to prevent complications.
- Diseases of the genitourinary system (N00-N99)
- Diseases of the genitourinary system > Diseases of male genital organs
In simple words: This code describes a twisted testicle.A twisted spermatic cord cuts off blood supply to the testicle, which is a medical emergency requiring immediate surgery.
N44.00,ICD-10-CM code, classifies torsion of the testis, where the twisting of the spermatic cord compromises venous outflow, leading to vascular congestion, edema, interstitial bleeding, and potentially hemorrhagic infarction of the testis if left untreated.This code is used when the specific type of torsion is unknown or unspecified. It's a surgical emergency requiring prompt detorsion to restore blood flow and preserve testicular viability.
Example 1: A 15-year-old male presents to the emergency room with acute onset of severe scrotal pain and swelling. Physical examination reveals a tender, swollen, and elevated testicle.Doppler ultrasound confirms testicular torsion. Emergency surgery is performed to untwist the spermatic cord.N44.00 is coded., A newborn infant is noted to have a swollen scrotum.Examination reveals a firm, tender, and non-transilluminating testicle.The infant undergoes emergency surgical exploration, revealing torsion. N44.00 is coded., An adult male experiences sudden severe scrotal pain.Physical examination and imaging studies are inconclusive as to the exact cause of the torsion.Exploration surgery is undertaken to address the issue; N44.00 is coded pending further pathology results.
Detailed history of the presenting complaint including onset, duration, and character of pain, associated symptoms, and relevant past medical history.Physical examination findings, including scrotal examination.Results of diagnostic imaging studies (ultrasound is often used).Operative report if surgery was performed. Pathology report if tissue was sent for analysis.
** This code is for use when the specific type of torsion is not known or cannot be determined.Always code any complications separately.
- Payment Status: Active
- Specialties:Urology, Pediatric Surgery, Emergency Medicine
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Ambulatory Surgical Center