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ICD-10 Guide
ICD-10 CodesC63.01

C63.01

Billable

Malignant neoplasm of right epididymis

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

Code Description

ICD-10 C63.01 is a billable code used to indicate a diagnosis of malignant neoplasm of right epididymis.

Key Diagnostic Point:

Malignant neoplasm of the right epididymis is a rare form of cancer that arises from the epididymis, a coiled tube located at the back of the testis responsible for storing and maturing sperm. This neoplasm can present with symptoms such as a palpable mass, pain, or swelling in the scrotum, and may be associated with other testicular malignancies. Diagnosis typically involves imaging studies such as ultrasound or MRI, followed by histopathological examination of biopsy samples. The staging of this cancer is crucial for determining the appropriate treatment plan and prognosis, often utilizing the TNM (Tumor, Node, Metastasis) classification system. Elevated prostate-specific antigen (PSA) levels may be observed, although they are more commonly associated with prostate cancer. Fertility considerations are significant, as treatment options may impact sperm production and overall reproductive health. Patients may require counseling regarding sperm banking prior to treatment, especially if surgical intervention is indicated.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to potential misdiagnosis
  • Need for precise staging and documentation of tumor characteristics
  • Differentiation from other testicular and epididymal tumors
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of tumor staging
  • Failure to specify laterality (right vs. left)
  • Misclassification of benign vs. malignant neoplasms
  • Lack of supporting clinical evidence for diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis of epididymal masses, management of testicular cancer, and fertility preservation discussions.

Billing Considerations

Ensure accurate laterality is documented and consider implications for fertility and surgical options.

Oncology

Documentation Requirements

Comprehensive cancer staging reports, treatment protocols, and follow-up care plans.

Common Clinical Scenarios

Management of malignant neoplasms, chemotherapy regimens, and palliative care considerations.

Billing Considerations

Focus on the multidisciplinary approach to treatment and the importance of documenting patient consent for procedures.

Coding Guidelines

Inclusion Criteria

Use C63.01 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, laterality, and staging
  • Include any relevant clinical findings and treatment plans to support the coding decision

Exclusion Criteria

Do NOT use C63.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical, with or without lymphadenectomy

Clinical Scenario

Used in cases where surgical intervention is required for malignant neoplasm of the epididymis.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Urologists must ensure accurate coding for the procedure performed.

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, including laterality and specific site, which aids in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, including laterality and specific site, which aids in better tracking and management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, including laterality and specific site, which aids in better tracking and management of these conditions.

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 right epididymis?

Common symptoms include a palpable mass in the scrotum, pain or discomfort in the affected area, and potential changes in fertility status.

How is malignant neoplasm of the right epididymis diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or MRI, followed by a biopsy to confirm malignancy.

What are the treatment options for this condition?

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