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ICD-10 Guide
ICD-10 CodesC63.10

C63.10

Billable

Malignant neoplasm of unspecified spermatic cord

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

Code Description

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

Key Diagnostic Point:

Malignant neoplasm of the spermatic cord is a rare form of cancer that arises from the tissues of the spermatic cord, which contains blood vessels, nerves, and the vas deferens. This neoplasm can present with symptoms such as a palpable mass, pain, or swelling in the groin area. Diagnosis typically involves imaging studies such as ultrasound or MRI, and a biopsy may be necessary to confirm malignancy. The spermatic cord is crucial for the transport of sperm and blood supply to the testes, and malignancies in this area can impact fertility. Treatment options may include surgical excision, chemotherapy, or radiation therapy, depending on the stage and grade of the tumor. Staging is essential for determining prognosis and treatment strategies, with the TNM classification system commonly used. PSA levels are typically not elevated in spermatic cord tumors, as PSA is more relevant to prostate cancer. However, monitoring PSA levels may be part of a broader assessment in male patients with malignancies in the genital region. Fertility considerations are significant, as treatment may affect sperm production and quality, necessitating discussions about sperm banking prior to treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to limited coding experience
  • Need for precise documentation of tumor location and characteristics
  • Differentiation from other male genital malignancies
  • Potential for staging complexity

Audit Risk Factors

  • Insufficient documentation of tumor characteristics
  • Lack of staging information
  • Failure to document fertility discussions
  • Inconsistent coding practices among coders

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on symptoms, imaging results, and treatment plans.

Common Clinical Scenarios

Diagnosis of a palpable mass in the groin, evaluation of infertility in male patients.

Billing Considerations

Ensure thorough documentation of any fertility preservation discussions and treatment impacts.

Oncology

Documentation Requirements

Comprehensive reports on tumor staging, pathology results, and treatment protocols.

Common Clinical Scenarios

Management of testicular cancer with potential spread to the spermatic cord.

Billing Considerations

Accurate staging and grading of the tumor are critical for treatment planning.

Coding Guidelines

Inclusion Criteria

Use C63.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the neoplasm's location, behavior, and any associated conditions
  • Include staging information when available, and ensure that the diagnosis aligns with the clinical findings

Exclusion Criteria

Do NOT use C63.10 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 of malignant neoplasm of the spermatic cord requiring surgical intervention.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Urologists must document the extent of the surgery and any findings related to malignancy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignancies, including those of the spermatic cord, improving data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignancies, including those of the spermatic cord, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignancies, including those of the spermatic cord, improving data accuracy and facilitating better patient management.

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, pain or discomfort in the area, and swelling. Some patients may also experience infertility issues.

How is malignant neoplasm of the spermatic cord 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 options may include surgical excision, chemotherapy, or radiation therapy, depending on the stage and characteristics of the tumor.

How does this condition affect fertility?

Malignant neoplasms of the spermatic cord can impact fertility due to potential damage to the spermatic cord and surrounding structures. Discussions about sperm banking may be necessary prior to treatment.