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Operative Report PRE- AND POSTOPERATIVE DIAGNOSIS: Hydrocele ANESTHESIA: General Under general anesthesia, this 36-year-old male was...

Operative Report
PRE- AND POSTOPERATIVE DIAGNOSIS: Hydrocele
ANESTHESIA: General
Under general anesthesia, this 36-year-old male was prepped and draped in the usual fashion.
After placing the patient in the lithotomy position, a 3.5-cm incision was made in the left marsupium and a hydrocele was visualized. Hemostasis was achieved. The hydrocele was located in the tunica vaginalis and was dissected and brought through the incision site. The hydrocele was surgically excised, and a drain was placed. The wound was closed in layers using 3-0 chromic sutures. The patient was sent to the recovery room in stable condition and tolerated the procedure well.

ICD-10-CM CODE (Principal Diagnosis):

ICD-10-PCS CODE:

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Answer #1

Hydrocele refers to swelling in the nut sack that occurs when the fluid is collected in the sheath that surrounds the testicles. It can develop in fetal period due to congenital defect between sac of abdominal cavity and the testicles. In adults it occurs secondary to infection and inflammatory conditions of the testicles or due to sexually transmitted infections.

ICD10CM classification categorized Hydrocele with code N43.3.

N codes indicates the list of diseases occurs in the genitourinary system.

N40-N53 contains list of codes representing diseases of male genital organs.

N43 codes explain Hydrocele and spermatocele.

N43.3 - Hydrocele,unspecified. In the given scenario there is no explanation related to the cause or type of hydrocele ( Infected hydrocele/Encysted hydrocele)

ICD 10 PCS code for excision of left Tunica vaginalis, open approach is 0VB7OZZ:

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Answer #2

0VB70ZZ (2 ZEROS NO THE LETTER "O")

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