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ICD-10 Guide
ICD-10 CodesC62.11

C62.11

Billable

Malignant neoplasm of descended right testis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C62.11 is a billable code used to indicate a diagnosis of malignant neoplasm of descended right testis.

Key Diagnostic Point:

C62.11 refers to a malignant neoplasm located in the descended right testis, which is a type of testicular cancer. This condition is characterized by the uncontrolled growth of abnormal cells in the testis, which can lead to the formation of tumors. Testicular cancer is most commonly diagnosed in young men between the ages of 15 and 35, although it can occur at any age. Symptoms may include a lump in the testicle, swelling, or discomfort. Diagnosis typically involves physical examination, imaging studies such as ultrasound, and serum tumor markers including alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG). The staging of testicular cancer is crucial for determining treatment options and prognosis, with stages ranging from localized disease to advanced metastatic disease. Fertility considerations are significant, as treatment may impact sperm production and hormonal balance. Patients may be advised to consider sperm banking prior to treatment, especially if undergoing chemotherapy or radiation therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the code for the right testis
  • Need for accurate staging information
  • Documentation of tumor markers and imaging results
  • Differentiation from benign conditions

Audit Risk Factors

  • Inadequate documentation of staging
  • Failure to report tumor markers
  • Misclassification of tumor laterality
  • Lack of pre-treatment fertility considerations

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on physical examination findings, imaging studies, and tumor marker results.

Common Clinical Scenarios

Diagnosis and management of testicular masses, follow-up after orchiectomy, and treatment planning for advanced disease.

Billing Considerations

Ensure accurate documentation of the tumor's laterality and staging to support the use of C62.11.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy regimens and follow-up care.

Common Clinical Scenarios

Management of metastatic testicular cancer and coordination of care with fertility specialists.

Billing Considerations

Document fertility discussions and sperm banking options for patients undergoing treatment.

Coding Guidelines

Inclusion Criteria

Use C62.11 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include staging information and any relevant tumor markers
  • 11 should be used only when the malignancy is confirmed and documented

Exclusion Criteria

Do NOT use C62.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54520CPT Code

Orchiectomy, radical, for malignancy

Clinical Scenario

Used in conjunction with C62.11 for surgical treatment of testicular cancer.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urologists must ensure accurate coding of the procedure to reflect the malignancy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of testicular malignancies, improving the accuracy of data collection and reimbursement processes. C62.11 provides granularity that was not available in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of testicular malignancies, improving the accuracy of data collection and reimbursement processes. C62.11 provides granularity that was not available in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. C62.11 provides granularity that was not available in ICD-9.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What are the common symptoms of malignant neoplasm of the testis?

Common symptoms include a lump or swelling in the testicle, discomfort or pain in the testicle or scrotum, and changes in the size or shape of the testicle.

How is testicular cancer staged?

Staging is typically determined using the TNM system, which assesses tumor size (T), lymph node involvement (N), and presence of metastasis (M).

What fertility options are available for patients with testicular cancer?

Patients may consider sperm banking prior to treatment, as chemotherapy and radiation can affect fertility. Consultation with a fertility specialist is recommended.