Preoperative diagnosis: Left hydrocele
Postoperative diagnosis: Left hydrocele
Procedure performed: Left hydrocelectomy
Procedure description: The initial incision was made, and the left hydrocele was delivered out of the wound and incised. The hydrocele was emptied of about 500 mL and then incised completely. About 90% of the hydrocele sac was removed with the Bovie. The hydrocele sac was involuted and sewn to itself using running 3-0 Vicryl in the manner of Jaboulay. The testicle was replaced in the left scrotum, and the patient tolerated the procedure well.
Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

N43.3 is the ICD-10-CM code for a hydrocele, unspecified, and 55040-LT is the CPT code for a hydrocelectomy, which matches the procedure performed.

Preoperative Diagnosis: Left Hydrocele