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P83.5

Billable

Congenital hydrocele

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A fluid-filled sac around the testicle in a newborn male that is present from birth, usually harmless and often resolves on its own.

Coding Tips

  • Distinguish between congenital hydrocele (present at birth) and acquired hydrocele that develops later
  • Document whether the hydrocele is unilateral or bilateral for complete clinical documentation

Code Hierarchy

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