Malignant neoplasm of left epididymis
ICD-10 C63.02 is a billable code used to indicate a diagnosis of malignant neoplasm of left epididymis.
Malignant neoplasm of the left epididymis is a rare form of cancer that arises from the epithelial cells of the epididymis, a coiled tube located at the back of the testis responsible for storing and maturing sperm. This neoplasm 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 definitive diagnosis is made through histopathological examination following surgical biopsy. The staging of this malignancy is crucial for determining the appropriate treatment plan, which may include surgical resection, chemotherapy, or radiation therapy. The prognosis depends on the stage at diagnosis, with early-stage tumors generally having a better outcome. Additionally, the impact on fertility should be considered, as treatment may affect sperm production and quality. Patients may require counseling regarding fertility preservation options prior to treatment.
Comprehensive documentation of clinical findings, imaging results, and treatment plans.
Diagnosis and management of scrotal masses, infertility consultations, and post-operative follow-ups.
Urologists must ensure accurate staging and pathology documentation to support coding.
Detailed treatment plans, response to therapy, and follow-up care documentation.
Management of malignant neoplasms, chemotherapy administration, and palliative care.
Oncologists should document the rationale for treatment choices and any fertility preservation discussions.
Used when a patient undergoes surgical removal of the affected testis and epididymis.
Operative report detailing the procedure and findings.
Urologists must document the extent of the surgery and any findings related to malignancy.
The primary treatment typically involves surgical resection, which may be followed by chemotherapy or radiation therapy depending on the stage of the cancer.
