Find information on orchialgia diagnosis, including clinical documentation, medical coding (ICD-10, SNOMED CT), differential diagnosis, and treatment. Learn about testicular pain causes, symptoms, and management. Explore resources for healthcare professionals regarding orchialgia evaluation, workup, and appropriate medical terminology for accurate coding and billing. This comprehensive guide covers key aspects of orchialgia for physicians, nurses, and other medical professionals involved in patient care and documentation.
Also known as
Other disorders of male genital organs
Covers various male genital disorders, including pain.
Symptoms and signs involving the abdomen and pelvis
Includes abdominal and pelvic pain, which may relate to testicular pain.
Inflammatory diseases of male genital organs
Inflammation can cause testicular pain; this range covers such conditions.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the orchialgia traumatic?
Yes
Open wound?
No
Is the orchialgia associated with infection/inflammation?
When to use each related code
| Description |
|---|
| Testicle pain |
| Epididymitis |
| Testicular torsion |
Coding orchialgia without specifying right, left, or bilateral can lead to claim rejections and inaccurate data reporting. Use N43.90, N43.91, or N43.92.
Failing to document the underlying cause of orchialgia (e.g., infection, trauma) can impact reimbursement and quality metrics. Use combination codes as appropriate.
Using nonspecific pain codes (e.g., R10.2) instead of N43.9 for orchialgia leads to inaccurate clinical documentation improvement and data analysis.
Patient presents with complaints of testicular pain (orchialgia), a chief complaint consistent with possible diagnoses including epididymitis, orchitis, testicular torsion, inguinal hernia, or referred pain. Onset of pain was [Onset - acute, gradual, insidious]. Pain quality described as [Pain quality - sharp, dull, aching, burning, throbbing] and located in the [Location - right testicle, left testicle, both testicles, radiating to groin]. Pain severity rated [Pain scale rating 0-10]. Associated symptoms include [Associated symptoms - swelling, redness, nausea, vomiting, fever, dysuria, urinary frequency, urgency, hematuria, abdominal pain, lower back pain]. Patient denies [Pertinent negatives - trauma, recent sexual activity, known sexually transmitted infections]. Physical examination reveals [Physical exam findings - tenderness to palpation, erythema, edema, scrotal mass, positive Prehn sign, normal cremasteric reflex, presence or absence of hydrocele, varicocele]. Differential diagnosis includes testicular torsion, epididymitis, orchitis, inguinal hernia, hydrocele, varicocele, spermatocele, referred pain. Given the patient's presentation and examination findings, [Diagnosis or working diagnosis]. Initial treatment plan includes [Treatment plan - pain management with analgesics such as ibuprofen or acetaminophen, scrotal support, ice packs, antibiotics if infection suspected, surgical consultation for suspected testicular torsion or other surgical emergencies, referral to urology]. Patient education provided regarding [Patient education - potential causes of testicular pain, warning signs of serious conditions, importance of follow-up care]. Follow-up scheduled for [Follow-up timeframe]. ICD-10 code: [ICD-10 code - R20.2 Testicular pain or N50.9 Male genital pain, unspecified, or other appropriate code based on working diagnosis]. CPT code(s) for today’s visit: [CPT code(s) - e.g., 99214 for an established patient office visit or other appropriate code based on services rendered]. Further evaluation and management may be necessary depending on response to treatment and diagnostic testing results.