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Q53.13 ICD-10-CM Code: Unilateral high scrotal testis

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes1

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 729 — OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC (MDC 12)
  • MS-DRG 730 — OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 12)
  • MS-DRG 795 — NORMAL NEWBORN (MDC 15)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Q53.13 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Notes without a marker are published on Q53.13 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from Q50-Q56

Coder workflow for Q53.13

MedCoder structured workflow — derived from this code’s own official record

Before you code Q53.13

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with Q53.13. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in Q53.13’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewE34.5

Consider Q53.13. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes1 — check before selecting Q53.13(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with Q53.13: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareE34.5

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition Q53.13 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewE34.5

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Unilateral high scrotal testis is a billable ICD-10-CM diagnosis code (Q53.13).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 729 (MDC 12), DRG 730 (MDC 12), DRG 795 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MAL003 — Genitourinary congenital anomalies (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Genitourinary congenital anomalies).

Q52.8 — Other specified congenital malformations of female genitalia, Q52.9 — Congenital malformation of female genitalia, unspecified, Q53.00 — Ectopic testis, unspecified, Q53.01 — Ectopic testis, unilateral, Q53.02 — Ectopic testes, bilateral, Q53.10 — Unspecified undescended testicle, unilateral, Q53.11 — Abdominal testis, unilateral, Q53.111 — Unilateral intraabdominal testis, Q53.112 — Unilateral inguinal testis, Q53.12 — Ectopic perineal testis, unilateral, Q53.20 — Undescended testicle, unspecified, bilateral, Q53.21 — Abdominal testis, bilateral, Q53.211 — Bilateral intraabdominal testes, Q53.212 — Bilateral inguinal testes, Q53.22 — Ectopic perineal testis, bilateral, Q53.23 — Bilateral high scrotal testes, Q53.9 — Undescended testicle, unspecified, Q54.0 — Hypospadias, balanic, Q54.1 — Hypospadias, penile, Q54.2 — Hypospadias, penoscrotal, +137 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “High”; these codes share that main term but sit in a different category of the Tabular List.

D75.1 — Secondary polycythemia (altitude effects, polycythemia), E78.00 — Pure hypercholesterolemia, unspecified (cholesterol), E78.1 — Pure hyperglyceridemia (triglycerides), E78.2 — Mixed hyperlipidemia (cholesterol, with high triglycerides), O32.4 — Maternal care for high head at term (head at term), Q38.5 — Congenital malformations of palate, not elsewhere classified (palate, congenital), Q66.7 — Congenital pes cavus (arch, foot), Q76.6 — Other congenital malformations of ribs (thoracic rib), Q79.1 — Other congenital malformations of diaphragm (diaphragm), R03.0 — Elevated blood-pressure reading, without diagnosis of hypertension (blood pressure, borderline), R50.9 — Fever, unspecified (temperature), R94.8 — Abnormal results of function studies of other organs and systems (basal metabolic rate), T70.0 — Otitic barotrauma (altitude effects, on, ears), T70.1 — Sinus barotrauma (altitude effects, on, sinuses), T70.20 — Unspecified effects of high altitude (altitude effects), T70.29 — Other effects of high altitude (altitude effects, anoxia), Z63.8 — Other specified problems related to primary support group (expressed emotional level within family), Z72.51 — High risk heterosexual behavior (risk, sexual behavior), Z72.52 — High risk homosexual behavior (risk, sexual behavior, homosexual), Z72.53 — High risk bisexual behavior (risk, sexual behavior, bisexual), +1 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Alpha-Fetoprotein (AFP) Test, Pregnancy Test

Contextual Map

Every relationship of Q53.13 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 12 — Diseases and Disorders of the Male Reproductive System[MDC crossing]: “Diseases and Disorders of the Male Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,969 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • High, scrotal testis, testes, unilateral[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (19)

Change history

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "Q53.13 — Unilateral high scrotal testis." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/q53.13-unilateral-high-scrotal-testis

Change history

  • FY2018 — October 1, 2017
    Added to the code set
    Unilateral high scrotal testis
    FY2018 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Q53.13 in its code family, with their registry titles.

View all codes in the Q53 family