Q53.23Bilateral high scrotal testes

Q53.23 is the ICD-10-CM diagnosis code for bilateral high scrotal testes. It belongs to category Q53 (undescended and ectopic testicle), block Q50-Q56 (congenital malformations of genital organs) and chapter 17 (congenital malformations, deformations, chromosomal abnormalities, and genetic disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Q53.2 (undescended testicle, bilateral), Q53.23 is specifically for bilateral high scrotal testes. Related codes cover undescended testicle, unspecified, bilateral (Q53.20), abdominal testis, bilateral (Q53.21) and ectopic perineal testis, bilateral (Q53.22).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 729 (Other Male Reproductive System Diagnoses with CC/MCC, relative weight 1.0544), DRG 730 (Other Male Reproductive System Diagnoses without CC/MCC, relative weight 0.6597) and DRG 795 (Normal Newborn, relative weight 0.2022), in MDC 12 (Diseases and Disorders of the Male Reproductive System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is on the CMS list of diagnoses consistent only with male patients (the sex-conflict edit itself was retired in FY2025).

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2018, effective October 1, 2017.

Before ICD-10, this condition was coded in ICD-9-CM as 752.51 (undescended testis).