Intravaginal torsion of spermatic cord

This code signifies a testicular torsion where the spermatic cord twists within the tunica vaginalis, compromising blood supply to the testis. This acute urological emergency typically presents with sudden, severe scrotal pain, swelling, and tenderness.

Apply this code for documented cases of intravaginal testicular torsion, which is the most common type of spermatic cord torsion. Supporting documentation should clearly indicate the location of the twist as within the tunica vaginalis, often confirmed by physical exam, ultrasound findings, or surgical exploration.

• Differentiate from extravaginal torsion, which occurs in neonates and involves the spermatic cord twisting above the tunica vaginalis.
• Always sequence this code as the primary diagnosis when it is the reason for the encounter.
• Ensure documentation specifies "intravaginal" to accurately capture this specific type of torsion.