This page contains information about ICD-9 code: 6352 Procedure. REDUCTION TORSION TESTES (REDUCTION OF TORSION OF TESTIS OR SPERMATIC CORD) Full code's title. Torsion of testis, unspecified. 2016 2017 2018 Billable/Specific Code Male Dx. N44.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018 edition of ICD-10-CM N44.00 became effective on October 1, 2017. The testis salvage rate approaches 100% in patients who undergo detorsion within 6 hours of the start of pain. However there is only a 20% viability rate if.

1. CPT® Code 27698 - Repair, Revision, And/or Reconstruction ...
2. Cpt Code For Manual Detorsion Of Testicle - Intensivesquared
3. Manual Detorsion Cpt

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Cpt Code For Manual Detorsion Of Testicle Posted on 4/9/2018 by admin Manual detorsion is successful in 30-70% of patients and is evident by the immediate relief experienced by the patient. 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.

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Table of Contents

Indications of Manual Detorsion

It can serve as a temporizing measure to attempt to reperfuse the testis while the patient is awaiting definite surgical management.

Contraindications of Manual Detorsion

1. Manual detorsion is not recommended for torsion of duration >6-8 hours (prolonged ischemia leads to marked swelling and edema after which manual detorsion is not effective)
2. Manual detorsion should not delay scrotal exploration and bilateral orchipexy in the operating room.
3. It is indicated only in acute testicular torsion. Attempting this maneuver in epididymitis and torsion of appendix testis although may not be harmful, will be extremely painful and of no benefit.

Procedure of Manual Detorsion

Testis twist with inward rotation in 70% cases of testicular torsion and the average number of twist in cord is 2 (720 degrees).

1. A dose of analgesic and/or short-acting axiolytic may be used to blunt the discomfort of detrosion.

2. Physician is positioned in front of the standing or supine position.

3. Affected testicle is held with thumb and forefinger of the opposite hand, i.e. physician’s right hand for left testicle and physician’s left hand for right testicle.

4. Testis should be turned caudal to cranial (lifting slightly upward to release cremasteric reflex) and 180 degrees or more from medial to lateral (“opening a book”).

Cpt Code For Manual Detorsion Of Testicle - Intensivesquared

5. Rotation of testicle may need to be repeated 2-3 times for complete detorsion.

6. If the first attempt is unsuccessful, the testis should be turned in the opposite direction.

Signs or Markers of Successful Detorsion

1. Immediate resolution of pain

2. Restoration of anatomy (resolution of transverse lie of testis to vertical or longitudinal configuration)

3. Eventual return of cremasteric reflex

4. Color doppler ultrasonogram shows return or improvement of flow

5. Lower position of testis in the scrotum

Following successful manual detrosion, elective bilateral orchidopexy is recommended to, to prevent recurrent torsion and protect the contralateral side from torsion.

References:

Manual Detorsion Cpt

1. An Illustrated Guide to Pediatric Urology By Ahmed H. Al-Salem
2. Essential Emergency Procedures edited by Kaushal Shah, Chilembwe Mason
3. Textbook of Pediatric Emergency Procedures edited by Christopher King, Fred M. Henretig