Anatomically there are two types of testicular torsion which occur in different age groups 2,3:extra-vaginal (supravaginal) torsion occurs at the level of the external inguinal ring. seen in neonates.intra-vaginal. more common variety due to bell clapper deformity (see below)
Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. The reduced blood flow causes sudden and often severe pain and swelling.
Testicular torsion, the twisting of the testis or spermatic cord, places the testis at risk of vascular compromise and is a surgical emergency. Testicular torsion is predominantly unilateral (98% of torsion cases) and primarily affects neonates and adolescents in a bimodal distribution.
ICD-10 | Left testicular pain (N50. 812)
Testicular torsion happens when a spermatic cord becomes twisted, cutting off the flow of blood to the attached testicle. Most cases of testicular torsion affect guys who have a condition called a bell clapper deformity. In most males, the testicles are attached to the scrotum, making it hard for them to twist.
Doctors often diagnose testicular torsion with a physical exam of the scrotum, testicles, abdomen and groin. Your doctor might also test your reflexes by lightly rubbing or pinching the inside of your thigh on the affected side. Normally, this causes the testicle to contract.
Torsion of testis, unspecified N44. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
It is generally believed that the left side of the spermatic cord is longer than the right side, so the incidence rate of the left testicular torsion is higher (Naouar et al., 2017).
This congenital abnormality is present in approximately 12% of males and is bilateral in 40% of cases. The bell clapper deformity allows the testicle to twist spontaneously on the spermatic cord. Torsion occurs as the testicle rotates between 90° and 180°, compromising blood flow to and from the testicle.
ICD-10 code N50. 819 for Testicular pain, unspecified is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
2022 ICD-10-CM Diagnosis Code R10. 2: Pelvic and perineal pain.
54640CPT code 54640 (Orchiopexy, inguinal approach, with or without hernia repair) clearly states that hernia repair is included.