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Varicocele G029

Last amended 
13 November 2018
Current RMA Instruments

Reasonable Hypothesis SOP

3 of 2011

Balance of Probabilities SOP

4 of 2011

Changes from previous Instruments Bulletin 148

ICD Coding
  • ICD-9-CM Codes: 456.4
  • ICD-10-AM Codes: I86.1
Brief description

A varicocele is the equivalent of varicose veins, affecting the network of veins draining the testicle.  It usually presents as a “bag of worms” mass in the upper scrotum.  It is usually left-sided.

Confirming the diagnosis

The diagnosis is made clinically and can be made by a treating GP.

The relevant medical specialist is a urologist.

Additional diagnoses covered by SOP
  • Scrotal varices
Conditions excluded from SOP
  • Varices of other sites
Clinical onset

The condition first appears at puberty and may become larger over time.  It may be asymptomatic or present with a dull ache.

Clinical worsening

Worsening would be evidenced by enlargement of the varicocele and an increase in symptoms.