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v1.0.0
ICD-10 Guide
ICD-10 CodesC62.91

C62.91

Billable

Malignant neoplasm of right testis, unspecified whether descended or undescended

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

Code Description

ICD-10 C62.91 is a billable code used to indicate a diagnosis of malignant neoplasm of right testis, unspecified whether descended or undescended.

Key Diagnostic Point:

C62.91 refers to a malignant neoplasm located in the right testis, which can be either descended or undescended. Testicular cancer is a relatively rare but significant malignancy in males, often affecting younger populations. The neoplasm may present as a painless lump in the testis, and symptoms can include swelling, discomfort, or changes in the testicular structure. Diagnosis typically involves imaging studies such as ultrasound and serum tumor markers, including alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG), alongside prostate-specific antigen (PSA) levels, which are generally not elevated in testicular cancer but may be monitored for other malignancies. Staging of testicular cancer is crucial for treatment planning and involves determining the extent of disease spread, which can range from localized to metastatic. Fertility considerations are paramount, as treatment may impact sperm production and hormonal balance, necessitating discussions about sperm banking prior to treatment. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking cancer incidence and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Uncertainty regarding whether the testis is descended or undescended
  • Need for precise staging and documentation of tumor markers
  • Variability in presentation and symptoms among patients
  • Potential for co-existing conditions affecting treatment and coding

Audit Risk Factors

  • Inadequate documentation of tumor markers
  • Failure to specify the nature of the neoplasm
  • Misclassification of the testis as descended or undescended
  • Lack of staging information

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, imaging results, and tumor markers.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate staging and documentation of fertility discussions.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy and radiation details.

Common Clinical Scenarios

Management of advanced testicular cancer, monitoring for recurrence.

Billing Considerations

Document all treatment modalities and their impact on fertility.

Coding Guidelines

Inclusion Criteria

Use C62.91 When
  • Follow ICD
  • CM guidelines for neoplasms, ensuring accurate documentation of the site, laterality, and staging
  • Include relevant tumor markers and symptoms in the medical record

Exclusion Criteria

Do NOT use C62.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical, for malignancy

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 extent of the disease and any lymph node involvement.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of testicular cancers, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiology.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of testicular cancers, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiology.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of testicular cancers, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiology.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What are the common symptoms of testicular cancer?

Common symptoms include a painless lump in the testis, swelling, discomfort, and changes in the testicular structure. Some patients may also experience back pain or abdominal discomfort if the cancer has spread.