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ICD-10 Guide
ICD-10 CodesC68.1

C68.1

Billable

Malignant neoplasm of paraurethral glands

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

Code Description

ICD-10 C68.1 is a billable code used to indicate a diagnosis of malignant neoplasm of paraurethral glands.

Key Diagnostic Point:

Malignant neoplasm of the paraurethral glands, also known as Skene's glands, is a rare form of cancer that arises from the paraurethral glands located near the female urethra. These glands are responsible for secreting fluid that contributes to lubrication during sexual arousal. The malignancy can present with symptoms such as abnormal vaginal bleeding, pelvic pain, or urinary symptoms, including dysuria or urinary retention. Diagnosis typically involves imaging studies, such as ultrasound or MRI, and a biopsy to confirm malignancy. Staging of the cancer is crucial for determining the extent of disease and guiding treatment options. The staging system may include assessments of local invasion, lymph node involvement, and distant metastasis. Surgical management often involves excision of the tumor, which may include partial or complete urethrectomy, depending on the tumor's size and extent. Adjuvant therapies, such as radiation or chemotherapy, may be considered based on the tumor's characteristics and staging.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to limited coding resources
  • Need for precise documentation of tumor staging
  • Potential for overlapping symptoms with benign conditions
  • Variability in treatment approaches based on staging

Audit Risk Factors

  • Inadequate documentation of staging and treatment
  • Misclassification of benign conditions as malignant
  • Failure to document multidisciplinary treatment approaches
  • Lack of clarity in pathology reports

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed surgical notes, pathology reports, and imaging results are essential for accurate coding.

Common Clinical Scenarios

Diagnosis and management of paraurethral gland tumors, including surgical interventions and follow-up care.

Billing Considerations

Urologists must ensure comprehensive documentation of tumor characteristics and staging to support coding.

Oncology

Documentation Requirements

Oncologists should provide detailed treatment plans, including chemotherapy or radiation therapy notes.

Common Clinical Scenarios

Management of advanced paraurethral gland malignancies requiring multidisciplinary treatment.

Billing Considerations

Oncology documentation must clearly outline the rationale for treatment choices based on staging.

Coding Guidelines

Inclusion Criteria

Use C68.1 When
  • According to ICD
  • 10 coding guidelines, C68
  • 1 should be used when a malignant neoplasm of the paraurethral glands is confirmed through pathology
  • It is essential to document the specific site and any associated complications
  • neoplastic conditions affecting the paraurethral glands

Exclusion Criteria

Do NOT use C68.1 When
  • Exclusion criteria include benign neoplasms or non

Related ICD-10 Codes

Related CPT Codes

55866CPT Code

Excision of malignant neoplasm of urethra

Clinical Scenario

Used when excising a malignant tumor from the paraurethral glands.

Documentation Requirements

Surgical notes must detail the extent of excision and any complications.

Specialty Considerations

Urologists should document the rationale for surgical intervention based on tumor staging.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rare malignancies like C68.1, improving data accuracy and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rare malignancies like C68.1, improving data accuracy and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement.

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 paraurethral glands?

Common symptoms include abnormal vaginal bleeding, pelvic pain, urinary retention, and dysuria. Patients may also experience changes in urinary habits.