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v1.0.0
ICD-10 Guide
ICD-10 CodesC63.2

C63.2

Billable

Malignant neoplasm of scrotum

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

Code Description

ICD-10 C63.2 is a billable code used to indicate a diagnosis of malignant neoplasm of scrotum.

Key Diagnostic Point:

Malignant neoplasm of the scrotum is a rare form of cancer that primarily affects the male genital region. It is characterized by the uncontrolled growth of malignant cells in the scrotal tissue, which can arise from various cell types, including squamous cells, basal cells, and germ cells. The etiology of scrotal cancer is often linked to chronic irritation, exposure to carcinogenic substances, and certain genetic predispositions. Symptoms may include a palpable mass, pain, swelling, or changes in the skin of the scrotum. Diagnosis typically involves a combination of physical examination, imaging studies, and biopsy. Staging of the cancer is crucial for determining the appropriate treatment plan and prognosis, often utilizing the TNM classification system, which assesses tumor size, lymph node involvement, and metastasis. Treatment options may include surgical excision, radiation therapy, and chemotherapy, depending on the stage and type of cancer. Additionally, considerations regarding fertility are paramount, as treatments may impact reproductive capabilities. Regular monitoring of prostate-specific antigen (PSA) levels may also be relevant in the context of male genital malignancies, although PSA is primarily associated with prostate cancer.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to limited coding resources
  • Variability in staging and treatment protocols
  • Potential for misclassification with other genital malignancies
  • Need for detailed documentation of clinical findings and treatment plans

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to accurately stage the malignancy
  • Misinterpretation of biopsy results
  • Inconsistent coding of treatment modalities

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Comprehensive documentation of physical examination findings, imaging results, and biopsy reports.

Common Clinical Scenarios

Diagnosis and management of scrotal masses, post-operative follow-up for scrotal cancer, and fertility preservation discussions.

Billing Considerations

Urologists must ensure clear documentation of the tumor's characteristics and staging to support accurate coding.

Oncology

Documentation Requirements

Detailed treatment plans, including chemotherapy regimens and radiation therapy protocols.

Common Clinical Scenarios

Management of advanced scrotal cancer, coordination of care with urologists, and monitoring for recurrence.

Billing Considerations

Oncologists should document the rationale for treatment choices and any impact on fertility.

Coding Guidelines

Inclusion Criteria

Use C63.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, staging, and treatment
  • Include any relevant history of exposure to carcinogens or genetic predispositions
  • Ensure that the code reflects the specific type of malignancy and its location

Exclusion Criteria

Do NOT use C63.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

55899CPT Code

Unlisted procedure, male genital system

Clinical Scenario

Used for unlisted procedures related to scrotal cancer treatment.

Documentation Requirements

Detailed description of the procedure performed and rationale.

Specialty Considerations

Urologists and oncologists should ensure clarity in documentation to support the use of unlisted codes.

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 scrotal cancer, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignancies, including scrotal cancer, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignancies, including scrotal cancer, improving data accuracy and facilitating better tracking of treatment outcomes and epidemiological studies.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

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

Common symptoms include a palpable mass, pain, swelling, and changes in the skin of the scrotum. Patients may also experience discomfort or changes in urinary function.