Extravaginal torsion of spermatic cord

This code signifies a condition where the spermatic cord twists outside of its tunica vaginalis, leading to compromised blood flow to the testicle. This typically occurs in neonates or infants due to inadequate fixation of the testis and epididymis within the scrotum. It is a surgical emergency requiring prompt intervention to preserve testicular viability.

Apply this code for documented cases of extravaginal testicular torsion, often presenting in the perinatal period. Supporting documentation will include physician notes detailing the physical exam findings (e.g., firm, swollen, discolored scrotum), imaging results (e.g., absent blood flow on Doppler ultrasound), and operative reports confirming the extravaginal nature of the twist.

• Differentiate from intravaginal torsion (N44.00), which occurs within the tunica vaginalis and is more common in older males.
• Ensure documentation explicitly states "extravaginal" to support this specific code.
• Sequence as the primary diagnosis when it is the reason for the encounter and subsequent surgical intervention.