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v1.0.0
ICD-10 Guide
ICD-10 CodesC63.1

C63.1

Billable

Malignant neoplasm of spermatic cord

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

Code Description

ICD-10 C63.1 is a billable code used to indicate a diagnosis of malignant neoplasm of spermatic cord.

Key Diagnostic Point:

Malignant neoplasm of the spermatic cord is a rare type of cancer that arises from the tissues of the spermatic cord, which contains blood vessels, nerves, and the vas deferens. This neoplasm can present as a palpable mass in the scrotum or groin area and may be associated with pain or discomfort. The etiology of spermatic cord tumors is not well understood, but they can be classified into various histological types, including sarcomas and germ cell tumors. Diagnosis typically involves imaging studies such as ultrasound or MRI, followed by biopsy for histological confirmation. Staging of the tumor is crucial for determining the appropriate treatment plan, which may include surgical resection, chemotherapy, or radiation therapy. Given the location of the tumor, fertility considerations are significant, as treatment may impact the patient's reproductive capabilities. Regular monitoring of PSA levels is not typically relevant for spermatic cord tumors, as PSA is primarily associated with prostate cancer; however, awareness of overall male genital malignancies is essential for comprehensive patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to limited coding resources
  • Variability in histological types requiring precise documentation
  • Potential for misclassification with other male genital tumors
  • Need for detailed staging information for accurate coding

Audit Risk Factors

  • Inadequate documentation of tumor type and staging
  • Failure to capture fertility implications in treatment plans
  • Misalignment between diagnosis and treatment codes
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis of a palpable mass in the spermatic cord, post-operative follow-up for tumor resection.

Billing Considerations

Urologists must ensure that all relevant details regarding tumor type and staging are included in the documentation.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or radiation therapy details.

Common Clinical Scenarios

Management of advanced spermatic cord tumors requiring multi-disciplinary approaches.

Billing Considerations

Oncologists should document the rationale for treatment choices and any fertility preservation discussions.

Coding Guidelines

Inclusion Criteria

Use C63.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's histology and staging
  • Include any relevant treatment details and follow
  • up care

Exclusion Criteria

Do NOT use C63.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical

Clinical Scenario

Used in the surgical treatment of malignant neoplasms of the spermatic cord.

Documentation Requirements

Operative reports must detail the procedure and findings.

Specialty Considerations

Urologists must ensure accurate coding of the surgical approach and any complications.

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 for rare conditions like spermatic cord tumors.

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 for rare conditions like spermatic cord tumors.

Reimbursement & Billing Impact

reimbursement processes for rare conditions like spermatic cord tumors.

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 spermatic cord?

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