Q55.63 Congenital torsion of penis

ICD10CM code

#### Name of the Condition
- Congenital Torsion of Penis (ICD-10 Code: Q55.63)

#### Summary
Congenital torsion of the penis is a rare birth defect where the penis has a rotational anomaly, typically to the left or right, resulting in twisting. It often becomes apparent during the neonatal period or early childhood.

#### Causes
The exact cause of congenital torsion of the penis is unknown, but it is believed to occur due to malrotation during fetal development. It may be associated with other congenital penile abnormalities.

#### Risk Factors
- Family history of penile or genitourinary anomalies.
- Associated with other congenital conditions affecting the genitals.

#### Symptoms
- Visible twisting of the penis along its axis.
- Possible difficulty with urination if severe.
- Cosmetic concerns for parents and the patient later in life.

#### Diagnosis
- Physical examination is usually sufficient to diagnose the condition.
- Imaging tests are rarely needed unless additional abnormalities are suspected.

#### Treatment Options
- Mild cases may not require treatment and often only necessitate observation.
- Surgical correction is available for significant torsion, which helps to straighten and align the penis properly.

#### Prognosis and Follow-Up
- Most individuals with surgical correction have good outcomes with normal function and appearance.
- Regular follow-ups may be needed to monitor growth and development after surgical intervention.

#### Complications
- If untreated, severe torsion can lead to issues with urination or sexual function in the future.
- Potential psychological impact due to appearance.

#### Lifestyle & Prevention
- There are no specific lifestyle changes or preventive measures due to the congenital nature of the condition.

#### When to Seek Professional Help
- Consult a pediatric urologist if torsion is noticed or if any concerns arise regarding urinary or sexual function.

#### Additional Resources
- American Urological Association ([www.auanet.org](https://www.auanet.org))
- Pediatric Urology Care Foundation ([www.pucf.org](https://www.pucf.org))

#### Tips for Medical Coders
- Ensure congenital nature of torsion is documented.
- Differentiate from acquired penile torsion when coding.
- Verify any associated conditions that may alter coding or require additional codes.

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