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ICD-10 Guide
ICD-10 CodesC63.12

C63.12

Billable

Malignant neoplasm of left spermatic cord

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

Code Description

ICD-10 C63.12 is a billable code used to indicate a diagnosis of malignant neoplasm of left spermatic cord.

Key Diagnostic Point:

C63.12 refers to a malignant neoplasm located in the left spermatic cord, which is a structure that contains blood vessels, nerves, and the vas deferens. This type of cancer is relatively rare and can arise from various cell types, including germ cells, stromal cells, or other connective tissues. Symptoms may include a palpable mass, pain, or swelling in the scrotal area. Diagnosis typically involves imaging studies such as ultrasound or MRI, and a biopsy may be necessary to confirm malignancy. Treatment options often include surgical excision, chemotherapy, and radiation therapy, depending on the stage and type of cancer. The prognosis varies based on the tumor's histology and the extent of disease at diagnosis. Regular monitoring of PSA levels may be relevant in cases where prostate cancer is also a concern, as elevated PSA can indicate malignancy in the male reproductive system. Fertility considerations are crucial, as treatment may impact sperm production and overall reproductive health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor histology and staging criteria
  • Need for precise documentation of tumor location and extent
  • Potential for co-existing conditions affecting treatment
  • Variability in treatment protocols based on tumor type

Audit Risk Factors

  • Inadequate documentation of tumor type and staging
  • Failure to document co-existing conditions
  • Misclassification of tumor location
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis of testicular tumors, management of scrotal masses, and post-operative follow-up.

Billing Considerations

Urologists must ensure accurate staging and histological classification to guide treatment.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy regimens and surgical notes.

Common Clinical Scenarios

Management of malignant neoplasms, chemotherapy administration, and monitoring for recurrence.

Billing Considerations

Oncologists should document the rationale for treatment choices and any multidisciplinary consultations.

Coding Guidelines

Inclusion Criteria

Use C63.12 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the neoplasm's location, type, and stage
  • Include any relevant co
  • morbidities and treatment details

Exclusion Criteria

Do NOT use C63.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

54500CPT Code

Orchiectomy, radical, with or without lymphadenectomy

Clinical Scenario

Used in the surgical treatment of malignant neoplasm of the spermatic cord.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Urologists must document the extent of the 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 neoplasms, improving the accuracy of data collection and reimbursement processes. C63.12 provides a clear distinction for malignant neoplasms of the spermatic cord, which aids in clinical research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, improving the accuracy of data collection and reimbursement processes. C63.12 provides a clear distinction for malignant neoplasms of the spermatic cord, which aids in clinical research and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. C63.12 provides a clear distinction for malignant neoplasms of the spermatic cord, which aids in clinical research and treatment planning.

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 a malignant neoplasm of the spermatic cord?

Common symptoms include a palpable mass in the scrotum, pain or discomfort in the affected area, and potential changes in fertility. Patients may also experience swelling or changes in the size of the testicle.