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ICD-10 Guide
ICD-10 CodesC63.11

C63.11

Billable

Malignant neoplasm of right spermatic cord

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

Code Description

ICD-10 C63.11 is a billable code used to indicate a diagnosis of malignant neoplasm of right spermatic cord.

Key Diagnostic Point:

C63.11 refers to a malignant neoplasm located in the right spermatic cord, which is a structure that contains blood vessels, nerves, and the vas deferens, responsible for transporting sperm. This type of cancer is relatively rare and can arise from various cell types, including germ cells or connective tissue. Symptoms may include a palpable mass in the scrotum, pain, or swelling. Diagnosis typically involves imaging studies such as ultrasound or MRI, and histological examination through biopsy. Treatment options may include surgical excision, chemotherapy, or radiation therapy, depending on the stage and type of cancer. The prognosis varies significantly based on the tumor's characteristics and the stage at diagnosis. Regular monitoring of PSA levels is not typically relevant for spermatic cord tumors, as PSA is primarily associated with prostate cancer. However, fertility considerations are crucial, as treatment may impact reproductive capabilities. Patients may require counseling regarding sperm banking prior to treatment to preserve fertility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to potential misdiagnosis.
  • Variability in histological types and treatment protocols.
  • Need for precise documentation of tumor staging.
  • Potential for co-existing conditions affecting coding.

Audit Risk Factors

  • Inadequate documentation of tumor type and staging.
  • Failure to capture all relevant clinical details.
  • Misclassification of tumor laterality.
  • Lack of follow-up documentation post-treatment.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on tumor characteristics, staging, and treatment plans.

Common Clinical Scenarios

Diagnosis of a palpable mass in the scrotum, evaluation of infertility, and management of testicular tumors.

Billing Considerations

Ensure accurate documentation of any imaging studies and histopathological findings.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy regimens and surgical notes.

Common Clinical Scenarios

Management of malignant neoplasms, staging assessments, and follow-up care.

Billing Considerations

Document all multidisciplinary team discussions and decisions regarding treatment.

Coding Guidelines

Inclusion Criteria

Use C63.11 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of laterality and staging
  • Include any relevant clinical findings and treatment plans to support the diagnosis

Exclusion Criteria

Do NOT use C63.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical, with or without lymphadenectomy

Clinical Scenario

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

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urology specialists should ensure accurate coding of the procedure in relation to the diagnosis.

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. C63.11 provides a clear distinction from benign conditions, enhancing clinical clarity.

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. C63.11 provides a clear distinction from benign conditions, enhancing clinical clarity.

Reimbursement & Billing Impact

reimbursement processes. C63.11 provides a clear distinction from benign conditions, enhancing clinical clarity.

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 a malignant neoplasm of the spermatic cord?

Common symptoms include a palpable mass in the scrotum, pain or discomfort in the affected area, and swelling. Some patients may also experience infertility issues.