Orchitis, epididymitis, and epididymo-orchitis, with abscess

This code signifies inflammation of the testis (orchitis), epididymis (epididymitis), or both (epididymo-orchitis), specifically when an abscess has formed. An abscess indicates a localized collection of pus, typically due to bacterial infection, within these male reproductive structures.

Apply this code when documentation clearly states a diagnosis of orchitis, epididymitis, or epididymo-orchitis accompanied by an abscess. This is often seen in cases of severe bacterial infections, sometimes following urinary tract infections or sexually transmitted infections. Supporting documentation includes physician notes detailing the presence of an abscess, imaging reports confirming an abscess, and culture results.

• Ensure the documentation explicitly mentions an "abscess" in conjunction with the orchitis/epididymitis. Without an abscess, a different code for inflammation without abscess would be more appropriate.
• Investigate for an underlying cause (e.g., bacterial infection, STD) and code it as a secondary diagnosis if documented.
• Do not use this code if the inflammation is due to mumps; a specific code for mumps orchitis exists.