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v1.0.0
ICD-10 Guide
ICD-10 CodesC62.90

C62.90

Billable

Malignant neoplasm of unspecified testis, unspecified whether descended or undescended

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

Code Description

ICD-10 C62.90 is a billable code used to indicate a diagnosis of malignant neoplasm of unspecified testis, unspecified whether descended or undescended.

Key Diagnostic Point:

C62.90 refers to a malignant neoplasm of the testis that is not specified as either descended or undescended. Testicular cancer is a relatively rare malignancy that primarily affects younger males, typically between the ages of 15 and 35. The condition can arise from germ cells, which are responsible for sperm production, or from non-germ cell tissues. Symptoms may include a lump in the testicle, swelling, or discomfort. Diagnosis is often confirmed through imaging studies and biopsy. The staging of testicular cancer is crucial for determining the appropriate treatment plan and prognosis, with stages ranging from localized disease to advanced metastatic disease. PSA levels are not typically used for testicular cancer, as they are more relevant for prostate cancer. Fertility considerations are significant, as treatment may impact sperm production and fertility, necessitating discussions about sperm banking prior to treatment. Accurate coding is essential for proper treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the neoplasm complicates coding.
  • Differentiation between descended and undescended testis is clinically significant.
  • Staging and treatment options vary widely based on the specific type of testicular cancer.
  • Documentation must clearly indicate the malignancy type and staging for accurate coding.

Audit Risk Factors

  • Inadequate documentation of the type of malignancy.
  • Failure to specify whether the testis is descended or undescended.
  • Lack of staging information in the medical record.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on the patient's history, physical examination findings, imaging results, and biopsy reports.

Common Clinical Scenarios

Diagnosis and management of testicular masses, follow-up after orchiectomy, and fertility preservation discussions.

Billing Considerations

Urologists must document the specific type of testicular cancer and any fertility implications.

Oncology

Documentation Requirements

Comprehensive treatment plans, staging information, and follow-up care details.

Common Clinical Scenarios

Chemotherapy regimens for testicular cancer, management of metastatic disease, and survivorship care.

Billing Considerations

Oncologists should ensure that staging and treatment response are clearly documented.

Coding Guidelines

Inclusion Criteria

Use C62.90 When
  • According to ICD
  • 10 guidelines, C62
  • 90 should be used when the specific type of testicular cancer is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use C62.90 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical, for testicular cancer

Clinical Scenario

Used when a patient undergoes surgical removal of the testis due to malignancy.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urologists must document the indication for surgery and any findings during the procedure.

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 treatment planning. C62.90 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

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 treatment planning. C62.90 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the significance of specifying whether the testis is descended or undescended?

The descent of the testis is clinically significant as undescended testis is associated with a higher risk of malignancy. Accurate documentation helps in treatment planning and risk assessment.