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ICD-10-CM 2027

ICD-10 code for spermatic cord torsion

N44.02

Intravaginal torsion of spermatic cord

From the official ICD-10-CM alphabetic index entry “Torsion › spermatic cord”. Page updated September 29, 2026.

About coding spermatic cord torsion

The ICD-10-CM code for spermatic cord torsion is N44.02 (Intravaginal torsion of spermatic cord). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on N44.02.

Within N44.0 (torsion of testis), N44.02 is specifically for Intravaginal torsion of spermatic cord. Related codes cover unspecified (N44.00), Extravaginal torsion of spermatic cord (N44.01), torsion of appendix testis (N44.03) and torsion of appendix epididymis (N44.04).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

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) and DRG 730 (Other Male Reproductive System Diagnoses without CC/MCC, relative weight 0.6597), in MDC 12 (Diseases and Disorders of the Male Reproductive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific spermatic cord torsion codes (official index)

  • extravaginal N44.01 — Extravaginal torsion of spermatic cord
  • intravaginal N44.02 — Intravaginal torsion of spermatic cord

Common questions about spermatic cord torsion ICD-10 codes

What is the ICD-10 code for spermatic cord torsion?

N44.02 — Intravaginal torsion of spermatic cord. More specific codes apply when the documentation supports them: N44.01, N44.02.

What is the ICD-10 code for extravaginal spermatic cord torsion?

N44.01 — Extravaginal torsion of spermatic cord.

What is the ICD-10 code for intravaginal spermatic cord torsion?

N44.02 — Intravaginal torsion of spermatic cord.

Is N44.02 billable?

Yes. N44.02 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can N44.02 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict N44.02 as a principal diagnosis.

Is N44.02 a CC or MCC?

N44.02 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.