Epididymo-orchitis

This code represents an inflammatory condition affecting both the epididymis and the testis. It is characterized by pain, swelling, and tenderness in the scrotal area, often accompanied by fever and dysuria. The inflammation can be acute or chronic and may be infectious or non-infectious in origin.

Use this code when documentation clearly indicates inflammation of both the epididymis and the testis. This diagnosis is supported by physician notes detailing physical exam findings (e.g., scrotal swelling, tenderness), patient symptoms, and potentially laboratory results (e.g., urinalysis, cultures). It is appropriate for both acute and chronic presentations of the condition.

• Differentiate from epididymitis (N45.1) or orchitis (N45.2) when only one structure is inflamed.
• Look for documentation specifying the laterality (e.g., right, left, bilateral) if available, though this code does not differentiate.
• Code any underlying infectious agent (e.g., bacterial, viral) as an additional diagnosis if identified and documented.