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ICD-10 Guide
ICD-10 CodesC63.00

C63.00

Billable

Malignant neoplasm of unspecified epididymis

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

Code Description

ICD-10 C63.00 is a billable code used to indicate a diagnosis of malignant neoplasm of unspecified epididymis.

Key Diagnostic Point:

C63.00 refers to a malignant neoplasm located in the epididymis, which is a coiled tube that stores and matures sperm. This code is used when the specific site of the malignancy within the epididymis is not specified. Malignant neoplasms of the epididymis are rare and can present with symptoms such as a painless lump in the scrotum, swelling, or discomfort. Diagnosis typically involves imaging studies such as ultrasound or MRI, and may require biopsy for definitive histological diagnosis. Treatment options may include surgical resection, chemotherapy, or radiation therapy, depending on the stage and grade of the tumor. The prognosis varies based on the tumor's characteristics and the extent of disease at diagnosis. Given the potential impact on fertility, discussions regarding sperm banking may be warranted for patients of reproductive age. Regular monitoring of PSA levels is not typically associated with epididymal tumors, as PSA is more relevant to prostate malignancies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding the exact location of the tumor within the epididymis.
  • Variability in clinical presentation and symptoms.
  • Need for comprehensive documentation to support the diagnosis.
  • Potential overlap with other male genital malignancies.

Audit Risk Factors

  • Insufficient documentation of the malignancy's characteristics.
  • Failure to specify the site of the tumor.
  • Inadequate staging information.
  • Misclassification with benign conditions.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes including imaging results, biopsy reports, and treatment plans.

Common Clinical Scenarios

Diagnosis of a palpable mass in the scrotum, evaluation of infertility, or follow-up after treatment.

Billing Considerations

Ensure clear documentation of the tumor's characteristics and any fertility discussions.

Oncology

Documentation Requirements

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

Common Clinical Scenarios

Management of malignant neoplasms post-diagnosis, chemotherapy administration, and monitoring for recurrence.

Billing Considerations

Document the rationale for treatment choices and any multidisciplinary discussions.

Coding Guidelines

Inclusion Criteria

Use C63.00 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant staging information and treatment plans

Exclusion Criteria

Do NOT use C63.00 When
  • Exclude conditions that are not malignant neoplasms of the epididymis

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical

Clinical Scenario

Used in cases of malignant neoplasm of the epididymis requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urology specialists should document the extent of the malignancy and any additional findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes. C63.00 provides a distinct code for a rare condition that may have been lumped into broader categories in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes. C63.00 provides a distinct code for a rare condition that may have been lumped into broader categories in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. C63.00 provides a distinct code for a rare condition that may have been lumped into broader categories in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

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

Common symptoms include a painless lump in the scrotum, swelling, discomfort, and sometimes changes in fertility.

How is malignant neoplasm of the epididymis diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or MRI, followed by biopsy for histological confirmation.

What treatment options are available for this condition?

Treatment may include surgical resection, chemotherapy, or radiation therapy, depending on the stage and characteristics of the tumor.