ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesC63.0

C63.0

Billable

Malignant neoplasm of epididymis

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

Code Description

ICD-10 C63.0 is a billable code used to indicate a diagnosis of malignant neoplasm of epididymis.

Key Diagnostic Point:

Malignant neoplasm of the epididymis is a rare form of cancer that arises from the epididymis, a coiled tube located at the back of the testis that stores and matures sperm. This neoplasm is classified under male genital malignancies and can present with symptoms such as a painless lump in the scrotum, swelling, or discomfort. Diagnosis typically involves imaging studies such as ultrasound or MRI, and a biopsy is often required to confirm malignancy. The staging of epididymal cancer follows the TNM classification system, assessing tumor size (T), lymph node involvement (N), and metastasis (M). Elevated prostate-specific antigen (PSA) levels may be observed, although PSA is more commonly associated with prostate cancer. Fertility considerations are significant, as treatment options may impact sperm production and overall reproductive health. Patients may require counseling regarding fertility preservation prior to treatment, especially if surgical intervention is necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to limited coding resources
  • Need for precise staging and documentation of tumor characteristics
  • Potential overlap with other male genital malignancies
  • Variability in treatment approaches affecting coding

Audit Risk Factors

  • Inadequate documentation of tumor staging
  • Failure to specify the site of the neoplasm
  • Misclassification with benign conditions
  • Lack of pathology reports to support diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes, imaging results, and pathology reports are essential.

Common Clinical Scenarios

Diagnosis and management of scrotal masses, evaluation of infertility related to malignancy.

Billing Considerations

Urologists must document the extent of disease and any surgical interventions performed.

Oncology

Documentation Requirements

Comprehensive treatment plans, staging information, and follow-up care documentation.

Common Clinical Scenarios

Management of malignant neoplasms, chemotherapy regimens, and radiation therapy.

Billing Considerations

Oncologists should ensure accurate coding of treatment modalities and their impact on fertility.

Coding Guidelines

Inclusion Criteria

Use C63.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the neoplasm's site, stage, and any associated conditions
  • Include any relevant imaging and pathology reports to support the diagnosis

Exclusion Criteria

Do NOT use C63.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical

Clinical Scenario

Performed for malignant neoplasm of the epididymis.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urologists must ensure accurate coding of the surgical approach 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 malignant neoplasms, improving the accuracy of data collection and reimbursement processes. C63.0 provides a distinct code for epididymal malignancies, enhancing the ability to track and manage these rare conditions.

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. C63.0 provides a distinct code for epididymal malignancies, enhancing the ability to track and manage these rare conditions.

Reimbursement & Billing Impact

reimbursement processes. C63.0 provides a distinct code for epididymal malignancies, enhancing the ability to track and manage these rare conditions.

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 epididymis?

Common symptoms include a painless lump in the scrotum, swelling, and discomfort. Some patients may also experience changes in fertility.

How is malignant neoplasm of the epididymis diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or MRI, followed by a biopsy to confirm malignancy.

What are the treatment options for this condition?

Treatment options may include surgical resection, chemotherapy, and radiation therapy, depending on the stage and grade of the tumor.