tci General Surgery Coding Alert - 2019 Issue Q3

You Be the Coder: Focus Undescended Testes Case

Question: Our surgeon treated an 11-month-old with bilateral undescended testes. The op report describes the surgeon using an endoscope through the umbilicus to view the testicle. The surgeon then executed an incision and dissection in the inguino-abdominal area before mobilizing the spermatic cord, bringing the testes down into the scrotum, and fixing it in place. What are the correct diagnosis and procedure codes for this case? Super coder Subscriber Answer: The appropriate diagnosis code is Q53.211 (Bilateral intraabdominal testes). The procedure code is 54650 (Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)). Distinguish codes: If the surgeon had...

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