Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3.8 per 100,000 males younger than 18 years annually. It accounts for 10% to 15% of. In the above scenario, you are correct, 54600 will cover the detorsion and orchiopexy of both testicles. Per CCI Edits, 54600 can never be billed with 54620. By contrast, CPT 54620 is used if the patient returns at a later date to have the contralateral testis pexed, or if it is done with another procedure (like an orchiectomy on the other side). Emergent urology consultation is indicated in order to salvage the testicle; salvage rates are as high as 90% in the first 6 hours, dropping to 20% after 24 hours. Manual detorsion should only be attempted if surgical intervention is delayed. Torsion of the testicular appendage has a similar presentation but only requires supportive care. Testicular salvage drops rapidly from 80 to 100% at 6 to 8 hours to near zero at 12 hours. Fixation of the contralateral testis is also done to prevent torsion on that side. When manual detorsion is successful, bilateral testicular fixation is done electively.
Question - Testicular Torsion | Medical Billing And Coding ..
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Torsion
- accessory tube - see Torsion, fallopian tube
- adnexa (female) - see Torsion, fallopian tube
- aorta, acquired I77.1ICD-10-CM Diagnosis Code I77.1
Stricture of artery
- 201620172018201920202021Billable/Specific Code
- appendix epididymis N44.04
Torsion of appendix epididymis
- 201620172018201920202021Billable/Specific CodeMale Dx
- appendix testis N44.03ICD-10-CM Diagnosis Code N44.03
Torsion of appendix testis
- 201620172018201920202021Billable/Specific CodeMale Dx
- bile duct (common) (hepatic) K83.8ICD-10-CM Diagnosis Code K83.8
Other specified diseases of biliary tract
- 201620172018201920202021Billable/Specific Code
Applicable To- Adhesions of biliary tract
- Atrophy of biliary tract
- Hypertrophy of biliary tract
- Ulcer of biliary tract
- congenital Q44.5ICD-10-CM Diagnosis Code Q44.5
Other congenital malformations of bile ducts
- 201620172018201920202021Billable/Specific CodePOA Exempt
Applicable To- Accessory hepatic duct
- Biliary duct duplication
- Congenital malformation of bile duct NOS
- Cystic duct duplication
- bowel, colon or intestine K56.2ICD-10-CM Diagnosis Code K56.2
Volvulus
- 201620172018201920202021Billable/Specific Code
Applicable To- Strangulation of colon or intestine
- Torsion of colon or intestine
- Twist of colon or intestine
- cervix - see Malposition, uterus
- cystic duct K82.8
Other specified diseases of gallbladder
- 201620172018201920202021Billable/Specific Code
Applicable To- Adhesions of cystic duct or gallbladder
- Atrophy of cystic duct or gallbladder
- Cyst of cystic duct or gallbladder
- Dyskinesia of cystic duct or gallbladder
- Hypertrophy of cystic duct or gallbladder
- Nonfunctioning of cystic duct or gallbladder
- Ulcer of cystic duct or gallbladder
- dystonia - see Dystonia, torsion
- epididymis N44.04 (appendix)ICD-10-CM Diagnosis Code N44.04
Torsion of appendix epididymis
- 201620172018201920202021Billable/Specific CodeMale Dx
- fallopian tube N83.52-ICD-10-CM Diagnosis Code N83.52-
Torsion of fallopian tube
- 20162017 - Converted to Parent Code2018201920202021Non-Billable/Non-Specific Code
- with ovary N83.53
Torsion of ovary, ovarian pedicle and fallopian tube
- 201620172018201920202021Billable/Specific Code
- with ovary N83.53
- gallbladder K82.8ICD-10-CM Diagnosis Code K82.8
Other specified diseases of gallbladder
- 201620172018201920202021Billable/Specific Code
Applicable To- Adhesions of cystic duct or gallbladder
- Atrophy of cystic duct or gallbladder
- Cyst of cystic duct or gallbladder
- Dyskinesia of cystic duct or gallbladder
- Hypertrophy of cystic duct or gallbladder
- Nonfunctioning of cystic duct or gallbladder
- Ulcer of cystic duct or gallbladder
- congenital Q44.1ICD-10-CM Diagnosis Code Q44.1
Other congenital malformations of gallbladder
- 201620172018201920202021Billable/Specific CodePOA Exempt
Applicable To- Congenital malformation of gallbladder NOS
- Intrahepatic gallbladder
- hydatid of Morgagni
- female N83.52-ICD-10-CM Diagnosis Code N83.52-
Torsion of fallopian tube
- 20162017 - Converted to Parent Code2018201920202021Non-Billable/Non-Specific Code
- male N44.03
Torsion of appendix testis
- 201620172018201920202021Billable/Specific CodeMale Dx
- female N83.52-
- kidney N28.0 (pedicle) (leading to infarction)ICD-10-CM Diagnosis Code N28.0
Ischemia and infarction of kidney
- 201620172018201920202021Billable/Specific Code
Applicable To- Renal artery embolism
- Renal artery obstruction
- Renal artery occlusion
- Renal artery thrombosis
- Renal infarct
Type 1 Excludes- atherosclerosis of renal artery (extrarenal part) (I70.1)
- congenital stenosis of renal artery (Q27.1)
- Goldblatt's kidney (I70.1)
- Meckel's diverticulum (congenital) Q43.0ICD-10-CM Diagnosis Code Q43.0
Meckel's diverticulum (displaced) (hypertrophic)
- 201620172018201920202021Billable/Specific CodePOA Exempt
Applicable To- Persistent omphalomesenteric duct
- Persistent vitelline duct
- malignant - see Table of Neoplasms, small intestine, malignant
- mesentery K56.2ICD-10-CM Diagnosis Code K56.2
Volvulus
- 201620172018201920202021Billable/Specific Code
Applicable To- Strangulation of colon or intestine
- Torsion of colon or intestine
- Twist of colon or intestine
- omentum K56.2
Volvulus
- 201620172018201920202021Billable/Specific Code
Applicable To- Strangulation of colon or intestine
- Torsion of colon or intestine
- Twist of colon or intestine
- organ or site, congenital NEC - see Anomaly, by site
- ovary (pedicle) N83.51-
Torsion of ovary and ovarian pedicle
- 20162017 - Converted to Parent Code2018201920202021Non-Billable/Non-Specific Code
- congenital Q50.2ICD-10-CM Diagnosis Code Q50.2
Congenital torsion of ovary
- 201620172018201920202021Billable/Specific CodePOA Exempt
- with fallopian tube N83.53ICD-10-CM Diagnosis Code N83.53
Torsion of ovary, ovarian pedicle and fallopian tube
- 201620172018201920202021Billable/Specific Code
- congenital Q50.2
- oviduct - see Torsion, fallopian tube
- penis (acquired) N48.82ICD-10-CM Diagnosis Code N48.82
Acquired torsion of penis
- 201620172018201920202021Billable/Specific CodeMale Dx
Type 1 Excludes- congenital torsion of penis (Q55.63)
- congenital Q55.63ICD-10-CM Diagnosis Code Q55.63
Congenital torsion of penis
- 201620172018201920202021Billable/Specific CodeMale DxPOA Exempt
- spasm - see Dystonia, torsion
- spermatic cord N44.02
Intravaginal torsion of spermatic cord
- 201620172018201920202021Billable/Specific CodeMale Dx
- extravaginal N44.01
Extravaginal torsion of spermatic cord
- 201620172018201920202021Billable/Specific CodeMale Dx
- intravaginal N44.02ICD-10-CM Diagnosis Code N44.02
Intravaginal torsion of spermatic cord
- 201620172018201920202021Billable/Specific CodeMale Dx
- extravaginal N44.01
- spleen D73.5
Infarction of spleen
- 201620172018201920202021Billable/Specific Code
Applicable To- Splenic rupture, nontraumatic
- Torsion of spleen
Type 1 Excludes- rupture of spleen due to Plasmodium vivax malaria (B51.0)
- traumatic rupture of spleen (S36.03-)
- testis, testicle N44.00ICD-10-CM Diagnosis Code N44.00
Torsion of testis, unspecified
- 201620172018201920202021Billable/Specific CodeMale Dx
- appendix N44.03ICD-10-CM Diagnosis Code N44.03
Torsion of appendix testis
- 201620172018201920202021Billable/Specific CodeMale Dx
- appendix N44.03
- tibia - see Deformity, limb, specified type NEC, lower leg
- uterus - see Malposition, uterus