icd 10 code for orchiopexy

Full Answer

What's new in CPT for orchiopexy?

The 2020 updates to Current Procedural Terminology ( CPT ®) bring good news to pediatric surgeons and urologists who perform orchiopexy. The code descriptor for code 54640 (Table 1) has been revised in 2 important ways. Table 1 compares 2019 and 2020 code descriptors.

What is the ICD 9 code for inguinal orchiopexy?

The documentation does not support coding for 54640 - inguinal orchiopexy. Correct coding should be 54520-RT, 54620-LT. (ICD-9 codes 608.89 for testicular atrophy/necrosis and 608.20 testicular torsion.) An inguinal orchiopexy is used for treatment of an undecended testicle with the testicle located in the groin area.

What is an orchiopexy?

[edit on Wikidata] Orchiopexy (or orchidopexy) is a surgery to move an undescended (cryptorchid) testicle into the scrotum and permanently fix it there. Orchiopexy typically also describes the surgery used to resolve testicular torsion.

When is orchiopexy indicated in the treatment of undescended testicles?

An undescended testicle is unlikely to spontaneously resolve after 6 months and, thus, orchiopexy is usually performed before the age of one year. The undescended testicle may be located within the normal line of descent (for example, in the inguinal canal) or high in the scrotum or ectopically (i.e. the abdomen ).

What is the ICD-10-CM code for undescended left testicle?

Undescended testicle, unilateral The 2022 edition of ICD-10-CM Q53. 1 became effective on October 1, 2021.

What is the CPT code for Orchiopexy?

54640CPT code 54640 (Orchiopexy, inguinal approach, with or without hernia repair) clearly states that hernia repair is included.

What is the ICD-10 code for status post orchiectomy?

Acquired absence of other genital organ(s) The 2022 edition of ICD-10-CM Z90. 79 became effective on October 1, 2021.

What is the meaning of Orchiopexy?

Orchidopexy (OR-kid-o-pex-ee) is a surgery to move a testicle that has not descended or moved down to its proper place in the scrotum. If a testicle has not completely descended by about 8 months of age, it is unlikely to ever descend on its own and an orchidopexy is needed.

What is the CPT code for orchiectomy?

If you see in the documentation that the urologist performed the orchiectomy laparoscopically, you should report CPT® code 54690 (Laparoscopy, surgical; orchiectomy).

What is procedure code 54640?

CPT 54640 - Orchiopexy, inguinal approach, with or without hernia repair.

What Salpingectomy means?

A salpingectomy is a surgical procedure where one or both of a woman's fallopian tubes are removed. It's performed to treat certain conditions of the fallopian tubes and ectopic pregnancies, and as a preventative measure for women at higher risk of developing ovarian cancer.

What is the ICD 10 code for Salpingectomy?

The 2022 edition of ICD-10-CM Z90. 722 became effective on October 1, 2021.

What is the medical term for fallopian tube removal?

Listen to pronunciation. (sal-PIN-goh-oh-oh-foh-REK-toh-mee) Surgical removal of the fallopian tubes and ovaries. Enlarge.

What is bilateral orchiopexy?

An orchidopexy is an operation that brings a non-descended testicle/s, down into the scrotum. An orchidopexy can be done on one or both sides. When both testicles are brought down this is called a bilateral orchidopexy.

What is the surgery called for undescended testicle?

Orchidopexy. In most cases, if the testicle can be felt in the groin, a simple orchidopexy can be performed. This involves first making a cut (incision) in the groin to locate the undescended testicle. The testicle is then moved downwards and repositioned in the scrotum through a second incision.

What is unilateral orchidopexy?

Orchidopexy is a surgical procedure that moves an undescended testicle into the scrotum. The operation is performed to reduce the risk of crush injury, correct the associated hernia, and/or alleviate the psychological concerns of having only one testicle visible in the scrotum.

What is procedure code 49500?

CPT® Code 49500 in section: Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy.

What is the CPT code for testicular torsion repair?

Alternative: For an orchiopexy for a testicular torsion, you should instead use code 54600 (Reduction of torsion of testis, surgical, with or without fixation of contralateral testis) or 54620 (Fixation of contralateral testis [separate procedure]).

What is the ICD 10 code for testicular torsion?

N44. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N44.

What is the CPT code for vasectomy?

When the two services are performed by the same entity, the more appropriate code to use is 55250, “Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s).”

Replaced Code

0VSC4ZZ was replaced in the 2022 ICD-10-PCS code set with the code (s):

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

Convert 0VSC4ZZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.

Indications

Undescended testicles affect 1% of males and are 10% bilateral. The cause is unknown, with a small percentage associated with developmental abnormalities or chromosomal aberrations.

Surgical techniques

For the management of palpable undescended testes (over 80% of undescended testes) the standard inguinal approach is the appropriate procedure.

History

The first attempts at surgical correction of cryptorchidism began in the early 1800s. Before this, inguinal testis were managed with the use of truss or castration, if at all.

What is CPT code 0582T?

Background: A new Category III code 0582T has been established for reporting transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance. Parenthetical notes have been added to provide guidance on the appropriate reporting of code 0582T. Currently, code 53854 is used to report the indirect application of radiofrequency (RF) energy in the form of water vapor thermotherapy to ablate prostate tissue. New code 0582T is used to report transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative imaging and needle guidance. Exclusionary parenthetical notes were added restricting the use of code 0582T with other codes in the CPT code set.

What are the new CPT codes for urology?

There are several Current Procedural Terminology (CPT®) code changes that urologists should understand that will be effective January 1, 2020, including changes to the orchiopexy code, new codes for biofeedback (with elimination of the old code), a new Category III code Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy with a new parenthetical to CPT 53854, and four new Category III codes for Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array and receiver or pulse generator.