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ICD-10 Guide
ICD-10 CodesC63.7

C63.7

Billable

Malignant neoplasm of other specified male genital organs

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

Code Description

ICD-10 C63.7 is a billable code used to indicate a diagnosis of malignant neoplasm of other specified male genital organs.

Key Diagnostic Point:

C63.7 refers to malignant neoplasms that arise in male genital organs not specifically classified elsewhere. This includes cancers of the penis, scrotum, and other specified areas such as the seminal vesicles and prostate. The clinical presentation may vary widely, with symptoms including abnormal growths, pain, and changes in urinary or sexual function. Diagnosis typically involves imaging studies, biopsies, and histopathological examination. Staging of the cancer is crucial for determining treatment options and prognosis, often utilizing the TNM classification system, which assesses tumor size, lymph node involvement, and metastasis. Additionally, PSA (Prostate-Specific Antigen) levels are significant in diagnosing and monitoring prostate cancer, with elevated levels indicating potential malignancy. Fertility considerations are also paramount, as treatments such as surgery or radiation can impact reproductive capabilities. Therefore, pre-treatment counseling regarding fertility preservation is essential for patients of reproductive age.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of male genital organs involved
  • Need for precise documentation of tumor location
  • Staging complexity and variations in treatment protocols
  • Potential overlap with benign conditions

Audit Risk Factors

  • Inadequate documentation of tumor location
  • Failure to document staging details
  • Misclassification of benign versus malignant conditions
  • Lack of supporting diagnostic tests (e.g., imaging, biopsy results)

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed descriptions of tumor location, size, and staging; results of PSA tests; and any imaging studies performed.

Common Clinical Scenarios

Diagnosis and management of penile cancer, scrotal tumors, or seminal vesicle malignancies.

Billing Considerations

Urologists must ensure comprehensive documentation to support the complexity of the case and the chosen treatment plan.

Oncology

Documentation Requirements

Complete cancer staging information, treatment plans, and follow-up care details.

Common Clinical Scenarios

Management of advanced male genital cancers requiring chemotherapy or radiation therapy.

Billing Considerations

Oncologists should document the multidisciplinary approach to treatment, including referrals to fertility specialists if applicable.

Coding Guidelines

Inclusion Criteria

Use C63.7 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the specific site of malignancy
  • Include staging information and any relevant diagnostic tests
  • Ensure that the code reflects the most specific diagnosis available

Exclusion Criteria

Do NOT use C63.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

55866CPT Code

Transurethral resection of prostate (TURP)

Clinical Scenario

Used in cases of prostate cancer management.

Documentation Requirements

Document indication for surgery, preoperative assessments, and postoperative care.

Specialty Considerations

Urologists should ensure that the procedure is linked to the diagnosis of malignancy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignancies, improving the accuracy of data collection and reimbursement processes. C63.7 provides a more granular approach to coding male genital cancers, facilitating better tracking of treatment outcomes and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignancies, improving the accuracy of data collection and reimbursement processes. C63.7 provides a more granular approach to coding male genital cancers, facilitating better tracking of treatment outcomes and epidemiological studies.

Reimbursement & Billing Impact

reimbursement processes. C63.7 provides a more granular approach to coding male genital cancers, facilitating better tracking of treatment outcomes and epidemiological studies.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What are the common symptoms of malignant neoplasms in male genital organs?

Common symptoms include abnormal growths, pain, changes in urinary function, and sexual dysfunction. Patients may also present with lymphadenopathy or systemic symptoms if metastasis occurs.