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v1.0.0
ICD-10 Guide
ICD-10 CodesC62.92

C62.92

Billable

Malignant neoplasm of left testis, unspecified whether descended or undescended

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

Code Description

ICD-10 C62.92 is a billable code used to indicate a diagnosis of malignant neoplasm of left testis, unspecified whether descended or undescended.

Key Diagnostic Point:

C62.92 refers to a malignant neoplasm located in the left testis, where the specific status of the testis (whether it is descended or undescended) is not specified. Testicular cancer is one of the most common malignancies in young men, typically affecting those aged 15 to 35. The most common histological type is germ cell tumors, which can be further classified into seminomas and non-seminomas. Symptoms may include a painless lump in the testis, swelling, or discomfort. Diagnosis is often confirmed through imaging studies such as ultrasound and serum tumor markers, including alpha-fetoprotein (AFP) and human chorionic gonadotropin (hCG). The staging of testicular cancer is crucial for determining treatment options and prognosis, typically classified using the TNM system. Fertility considerations are significant, as treatment may impact sperm production and quality. Patients may be advised to consider sperm banking prior to treatment, especially if undergoing chemotherapy or radiation therapy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Uncertainty regarding the descended or undescended status of the testis
  • Variability in clinical presentation and symptoms
  • Need for accurate staging and documentation of tumor markers
  • Potential for co-existing conditions affecting treatment

Audit Risk Factors

  • Inadequate documentation of tumor markers
  • Failure to specify the laterality of the tumor
  • Lack of staging information in medical records
  • Misclassification of tumor type

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on physical examination findings, imaging results, and tumor marker levels.

Common Clinical Scenarios

Diagnosis and management of testicular masses, follow-up after orchiectomy, and treatment planning.

Billing Considerations

Ensure accurate documentation of the testicular status and staging to support coding.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy regimens and response assessments.

Common Clinical Scenarios

Management of advanced testicular cancer and coordination of multidisciplinary care.

Billing Considerations

Documenting the impact of treatment on fertility and potential referrals for sperm banking.

Coding Guidelines

Inclusion Criteria

Use C62.92 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, staging, and any relevant treatment details
  • Include any applicable modifiers to indicate the complexity of care

Exclusion Criteria

Do NOT use C62.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical, unilateral

Clinical Scenario

Used when a patient undergoes surgery for testicular cancer.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urology specialists should ensure accurate coding based on surgical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of testicular cancers, improving the granularity of data for research and treatment outcomes. C62.92 provides a clear designation for left testicular malignancies, aiding in clinical decision-making.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of testicular cancers, improving the granularity of data for research and treatment outcomes. C62.92 provides a clear designation for left testicular malignancies, aiding in clinical decision-making.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of testicular cancers, improving the granularity of data for research and treatment outcomes. C62.92 provides a clear designation for left testicular malignancies, aiding in clinical decision-making.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the significance of specifying whether the testis is descended or undescended?

The descended or undescended status can influence treatment options and prognosis, as undescended testis is a known risk factor for testicular cancer.