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ICD-10 Guide
ICD-10 CodesC62.01

C62.01

Billable

Malignant neoplasm of undescended right testis

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

Code Description

ICD-10 C62.01 is a billable code used to indicate a diagnosis of malignant neoplasm of undescended right testis.

Key Diagnostic Point:

C62.01 refers to a malignant neoplasm located in the right testis that has not descended into the scrotum, a condition known as cryptorchidism. This neoplasm is characterized by uncontrolled cell growth in the testicular tissue, which can lead to various complications, including metastasis. The undescended testis is a significant risk factor for testicular cancer, with studies indicating that men with a history of cryptorchidism have a higher incidence of developing testicular tumors. Diagnosis typically involves imaging studies such as ultrasound or MRI, and histological examination following biopsy or surgical resection. Treatment often includes orchiectomy, chemotherapy, and/or radiation therapy, depending on the stage of cancer. The prognosis varies based on the tumor's histological type and stage at diagnosis. Additionally, fertility considerations are paramount, as the presence of an undescended testis can affect sperm production and overall fertility in males. Regular monitoring of PSA levels is not typically relevant for testicular cancer but may be considered in the context of prostate health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of cryptorchidism and its implications for malignancy.
  • Differentiation from other testicular neoplasms.
  • Need for accurate staging based on imaging and histology.
  • Consideration of fertility implications and treatment options.

Audit Risk Factors

  • Inadequate documentation of the undescended status.
  • Failure to document the malignancy type and staging.
  • Misclassification of the neoplasm as benign.
  • Lack of follow-up documentation regarding treatment and outcomes.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of cryptorchidism, imaging results, and treatment plans.

Common Clinical Scenarios

Diagnosis of testicular cancer in patients with a history of undescended testis.

Billing Considerations

Need for thorough documentation of surgical interventions and pathology reports.

Oncology

Documentation Requirements

Staging information, treatment regimens, and follow-up care details.

Common Clinical Scenarios

Management of testicular cancer post-orchiectomy.

Billing Considerations

Documentation of chemotherapy or radiation therapy protocols.

Coding Guidelines

Inclusion Criteria

Use C62.01 When
  • Follow ICD
  • CM guidelines for coding neoplasms, ensuring accurate documentation of the malignancy's location, type, and staging
  • Include any relevant history of cryptorchidism

Exclusion Criteria

Do NOT use C62.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54520CPT Code

Orchiectomy, radical, for malignancy

Clinical Scenario

Used when performing surgical removal of the undescended testis due to malignancy.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urology specialists must document the indication for surgery 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 testicular malignancies, including the differentiation of undescended testis, which aids in better tracking and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of testicular malignancies, including the differentiation of undescended testis, which aids in better tracking and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of testicular malignancies, including the differentiation of undescended testis, which aids in better tracking and treatment planning.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the significance of undescended testis in relation to malignancy?

Undescended testis is a known risk factor for testicular cancer, with individuals having a higher likelihood of developing malignant neoplasms compared to those with normally descended testes.