ICD-10 Coding for Testicular Torsion(N44.00, N44.01, N44.02)
Complete ICD-10-CM coding and documentation guide for Testicular Torsion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicular Torsion
N44.0-N44.9Primary Range
Noninflammatory disorders of testis
This range includes all codes related to testicular torsion, specifying different types and locations of torsion.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N44.00 | Torsion of testis, unspecified | Use when documentation does not specify the type of torsion. |
|
| N44.01 | Extravaginal torsion of testis | Use when documentation specifies extravaginal torsion. |
|
| N44.02 | Intravaginal torsion of testis | Use when documentation specifies intravaginal torsion. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for testicular torsion
Essential facts and insights about Testicular Torsion
Primary ICD-10-CM Codes for testicular torsion
Decision Criteria
documentation Criteria
- Lack of specific torsion type in documentation
Clinical Validation Requirements
- Sudden onset of testicular pain
- Absent cremasteric reflex
- High-riding testis
Code-Specific Risks
- Risk of undercoding if specific type is documented but not coded.
Coding Notes
- Ensure documentation specifies if imaging or surgical confirmation is available.
N44.01 - Extravaginal torsion of testis
Use when documentation specifies extravaginal torsion.
Applicable To
- Perinatal torsion
Excludes
- Intravaginal torsion (N44.02)
Clinical Validation Requirements
- Twisting above tunica vaginalis
- Occurs in neonates or infants
Coding Notes
Ensure age and type of torsion are documented.
N44.02 - Intravaginal torsion of testis
Use when documentation specifies intravaginal torsion.
Applicable To
- Bell-clapper deformity
Excludes
- Extravaginal torsion (N44.01)
Clinical Validation Requirements
- Twisting within tunica vaginalis
- Horizontal lie of testis
Coding Notes
Document specific findings such as degree of rotation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pelvic and perineal pain
R10.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testicular Torsion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N44.00.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Include laterality in all documentation, Use templates that prompt for laterality
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Review documentation for specific torsion type and code accordingly.
Impact
Auditors may check for documentation of specific torsion type when specific codes are used.
Mitigation Strategy
Ensure detailed documentation of torsion type in operative reports.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Testicular Torsion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicular Torsion
Use these documentation templates to ensure complete and accurate documentation for Testicular Torsion. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: UrologyRequired Elements
- Patient age
- Onset of symptoms
- Physical exam findings
- Imaging results
- Surgical findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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