Official Disability Guidelines
ORCHITIS AND EPIDIDYMITIS
(3-digit ICD9 604)

604  Orchitis and epididymitis

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data14 days32 days
All absences7 days18 days

Return-To-Work "Best Practice" Guidelines
See 604.9

RTW Prescription: 604 New!
              Use additional code to identify organism such as Escherichia coli [E. coli] (041.4), Staphylococcus (041.1), or Streptococcus (041.0)
ICD-10 Code: N45
ODG Treatment UR Advisor: 604
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Hospital Costs: $10,049 (average of 8,365 cases)
Hospital Length Of Stay: 3.4 days
Common Procedure Codes (see ODG Treatment for auto approval codes): 76870 81001 81003 99203 99212 99213 99282 99283 99284
CM Triage: Level 1 (low touch), inflection point 15 days

Workers' Comp Costs per Claim (based on 284 claims)
Quartile25%50%75%Mean% no cost
Indemnity$522$1,213$3,402$6,11379%
Medical$204$442$975$9666%
Total$227$488$1,542$2,3306%

604.0  Orchitis, epididymitis, and epididymo-orchitis, with abscess

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data14 days32 days
All absences7 days18 days

Return-To-Work "Best Practice" Guidelines
See 604.9

RTW Prescription: 604.0 New!
Description: Inflammation and pocket of pus on the testis and/or epididymis.
              Abscess of epididymis or testis
ICD-10 Code: N45.4
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Hospital Costs: $16,417 (average of 1,188 cases)
Hospital Length Of Stay: 5.6 days
CM Triage: Level 1 (low touch), inflection point 15 days

604.9  Other orchitis, epididymitis, and epididymo-orchitis, without mention of abscess

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data14 days32 days
All absences7 days18 days

Return-To-Work "Best Practice" Guidelines
Medical treatment, clerical/modified work: 5 days
Medical treatment, manual work: 14 days
Vasectomy, clerical/modified work: 3 day
Vasectomy, manual work: 7 days
Surgical removal, clerical/modified work: 7 days
Surgical removal, manual work: 14 days

RTW Prescription: 604.9 New!
Description: Inflammation of the tubules that bring sperm from the testes to the urethra (epididymis), often caused by bacterial infection.  Pain in the groin and scrotum that is worse when walking is the main symptom.  There could also be fever, chills, and frequent or painful urination.
ICD-10 Code: N45
ODG Treatment UR Advisor: 604.9
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Causality Likelihood: Zero
Hospital Costs: $8,995 (average of 7,177 cases)
Hospital Length Of Stay: 3.4 days
Common Procedure Codes (see ODG Treatment for auto approval codes): 52601 52647 52648 76870 81001 81003 99203 99212 99213 99282 99283 99284
CM Triage: Level 1 (low touch), inflection point 14 days

Workers' Comp Costs per Claim (based on 282 claims)
Quartile25%50%75%Mean% no cost
Indemnity$522$1,213$3,402$6,11379%
Medical$204$442$975$9665%
Total$227$488$1,542$2,3305%

RTW Claims Data (Calendar-days away from work by decile)

10%20%30%40%50%60%70%80%90%100%Mean
9111314141516183212618.37

   Integrated Disability Durations, in days*
   Median (mid-point)     7.0        Mean (average)        10.95
   Mode (most frequent)   7          Calculated rec.       8
                           Percent of Cases
                              (447 cases)
                                                                      
                                                                  24.2
                                                                      
                                                                      
                                                                      
                                                                      
                               11.2                                   
            7.6       9.2                                             
                 5.1       6.3                                        
  3.1  3.4                           3.1                      4.5     
                                          1.8  2.2  1.6  1.3          
  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___
    1    2    3    4    5    6    7    8    9   10   11   12   13  14+
                               Days
   *CDC NHIS cases with no lost workdays: 69 (15.4%)

Impact on Total Absence: Prevalence 0.0085% of total lost workdays; Incidence 0.09 days per 100 workers

604.90  Orchitis and epididymitis, unspecified

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data16 days37 days
All absences6 days27 days

Return-To-Work "Best Practice" Guidelines
See 604.9

RTW Prescription: 604.90 New!
ICD-10 Code: N45.1
ODG Treatment UR Advisor: 604.90
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Hospital Costs: $9,022 (average of 4,601 cases)
Hospital Length Of Stay: 3.3 days
Common Procedure Codes (see ODG Treatment for auto approval codes): 76870 81001 81003 99203 99212 99213 99282 99283 99284
CM Triage: Level 1 (low touch), inflection point 14 days

Workers' Comp Costs per Claim (based on 238 claims)
Quartile25%50%75%Mean% no cost
Indemnity$510$1,423$3,402$7,01580%
Medical$193$397$851$8276%
Total$193$442$1,213$2,3546%

RTW Claims Data (Calendar-days away from work by decile)

10%20%30%40%50%60%70%80%90%100%Mean
1113141516192128375320.53

   Integrated Disability Durations, in days*
   Median (mid-point)     6.0        Mean (average)        10.33
   Mode (most frequent)   5          Calculated rec.       7
                           Percent of Cases
                              (139 cases)
                                                                      
                                                                  18.0
                                                                      
                                                                      
                                                                      
                                                                      
                      8.6       8.6                                   
                           6.5                                        
            5.0  5.0                                                  
  3.6  3.6                                                            
                                     0.0  0.7  0.7  1.4  0.7  1.4     
  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___
    1    2    3    4    5    6    7    8    9   10   11   12   13  14+
                               Days
   *CDC NHIS cases with no lost workdays: 50 (36.0%)

Impact on Total Absence: Prevalence 0.0018% of total lost workdays; Incidence 0.02 days per 100 workers

604.91  Orchitis and epididymitis in diseases classified elsewhere

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data14 days32 days
All absences7 days18 days

Return-To-Work "Best Practice" Guidelines
See 604.9

RTW Prescription: 604.91 New!
              Code also underlying disease, as:
                diphtheria (032.89)
                filariasis (125.0-125.9)
                syphilis (095.8)
              Excludes:
              orchitis:
                gonococcal (098.13, 098.33)
                mumps (072.0)
                tuberculous (016.5)
              tuberculous epididymitis (016.4)

ICD-10 Code: N51
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
CM Triage: Level 1 (low touch), inflection point 14 days

604.99  Other

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data14 days32 days
All absences7 days18 days

Return-To-Work "Best Practice" Guidelines
See 604.9

RTW Prescription: 604.99 New!
ICD-10 Code: N45.1
ODG Treatment UR Advisor: 604.99
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Hospital Costs: $8,948 (average of 2,576 cases)
Hospital Length Of Stay: 3.4 days
CM Triage: Level 1 (low touch), inflection point 14 days

Workers' Comp Costs per Claim (based on 44 claims)
Quartile25%50%75%Mean% no cost
Medical$284$646$1,066$1,6720%
Total$284$726$1,780$2,2070%

Impact on Total Absence: Prevalence 0.0001% of total lost workdays

ODG 2011 Work Loss Data Institute. All Rights Reserved.

CPT 2011 American Medical Association. All Rights Reserved.

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