2020 ICD-10-CM Diagnosis Code N44.02

Intravaginal torsion of spermatic cord

    2016 2017 2018 2019 2020 Billable/Specific Code Male Dx
  • N44.02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM N44.02 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of N44.02 - other international versions of ICD-10 N44.02 may differ.
ICD-10-CM Coding Rules
  • N44.02 is applicable to male patients.
Applicable To
  • Torsion of spermatic cord NOS
The following code(s) above N44.02 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N44.02:
  • N00-N99
    2020 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the genitourinary system
Clinical Information
  • An emergency condition caused by the twisting of the spermatic cord which contains the vessels that provide the blood supply to the testis and surrounding structures. It manifests with acute testicular pain. If immediate medical assistance is not provided, it will lead to necrosis and loss of the testicular tissue.
  • The twisting of the spermatic cord due to an anatomical abnormality that left the testis mobile and dangling in the scrotum. The initial effect of testicular torsion is obstruction of venous return. Depending on the duration and degree of cord rotation, testicular symptoms range from edema to interrupted arterial flow and testicular pain. If blood flow to testis is absent for 4 to 6 h, spermatogenesis may be permanently lost.
ICD-10-CM N44.02 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 729 Other male reproductive system diagnoses with cc/mcc
  • 730 Other male reproductive system diagnoses without cc/mcc

Convert N44.02 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to N44.02:

ICD-10-CM Codes Adjacent To N44.02
N43.2 Other hydrocele
N43.3 Hydrocele, unspecified
N43.4 Spermatocele of epididymis
N43.40 …… unspecified
N43.41 …… single
N43.42 …… multiple
N44 Noninflammatory disorders of testis
N44.0 Torsion of testis
N44.00 …… unspecified
N44.01 Extravaginal torsion of spermatic cord
N44.02 Intravaginal torsion of spermatic cord
N44.03 Torsion of appendix testis
N44.04 Torsion of appendix epididymis
N44.1 Cyst of tunica albuginea testis
N44.2 Benign cyst of testis
N44.8 Other noninflammatory disorders of the testis
N45 Orchitis and epididymitis
N45.1 Epididymitis
N45.2 Orchitis
N45.3 Epididymo-orchitis
N45.4 Abscess of epididymis or testis

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.