Scrotal transposition

This code represents a congenital anomaly where the scrotum is positioned abnormally, typically anterior to the penis or in a perineal location. This condition results from an atypical developmental migration of the labioscrotal folds during embryogenesis. It can range from mild displacement to complete penoscrotal inversion.

Use this code for documented cases of congenital scrotal transposition identified at birth or during subsequent pediatric examinations. Documentation should clearly state the abnormal positioning of the scrotum relative to the penis or perineum. This code is appropriate for both isolated cases and when associated with other genitourinary anomalies.

• Ensure documentation specifies "congenital" to support this code; acquired scrotal displacement would be coded differently.
• Do not confuse with other congenital anomalies of the scrotum, such as bifid scrotum (Q55.21) or hypoplasia (Q55.29).
• Always sequence this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if it is a co-existing condition impacting care.