ICD-10 Coding for Testicular Tumor(C62.0, C62.1, C62.9, Z85.47)
Complete ICD-10-CM coding and documentation guide for Testicular Tumor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicular Tumor
C62Primary Range
Malignant neoplasm of testis
This range includes all primary malignant neoplasms of the testis, categorized by laterality and descent status.
Personal history of malignant neoplasm of testis
Used for patients with a history of testicular cancer who are no longer undergoing active treatment.
Benign neoplasm of testis
Includes benign tumors of the testis, requiring differentiation from malignant neoplasms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C62.0 | Malignant neoplasm of undescended testis | Use when the tumor is located in an undescended testis. |
|
| C62.1 | Malignant neoplasm of descended testis | Use when the tumor is located in a descended testis. |
|
| C62.9 | Malignant neoplasm of unspecified testis | Use only when laterality and descent status are not documented. |
|
| Z85.47 | Personal history of malignant neoplasm of testis | Use for patients with a history of testicular cancer who are no longer undergoing active treatment. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for testicular cancer
Essential facts and insights about Testicular Tumor
Primary ICD-10-CM Codes for testicular tumor
Decision Criteria
clinical Criteria
- Presence of a mass in an undescended testis confirmed by imaging
Applicable To
- Tumor in cryptorchid testis
Excludes
- Benign neoplasm of testis (D29.2)
Clinical Validation Requirements
- Ultrasound or imaging confirming mass in undescended testis
- Histological confirmation of malignancy
Code-Specific Risks
- Misclassification if descent status is not documented
Coding Notes
- Ensure documentation specifies undescended status to avoid defaulting to unspecified codes.
C62.1 - Malignant neoplasm of descended testis
Use when the tumor is located in a descended testis.
Applicable To
- Tumor in scrotal testis
Excludes
- Benign neoplasm of testis (D29.2)
Clinical Validation Requirements
- Ultrasound confirming intratesticular mass
- Histological confirmation of malignancy
Coding Notes
Ensure documentation specifies laterality to avoid defaulting to unspecified codes.
C62.9 - Malignant neoplasm of unspecified testis
Use only when laterality and descent status are not documented.
Applicable To
- Testicular cancer NOS
Excludes
- Benign neoplasm of testis (D29.2)
Clinical Validation Requirements
- Lack of documentation specifying laterality or descent status
Coding Notes
Avoid using this code if specific laterality or descent status can be documented.
Z85.47 - Personal history of malignant neoplasm of testis
Use for patients with a history of testicular cancer who are no longer undergoing active treatment.
Applicable To
- History of testicular cancer
Excludes
- Current malignant neoplasm of testis (C62.x)
Clinical Validation Requirements
- Documentation of completed treatment and no active disease
Coding Notes
Ensure treatment completion and remission status are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Benign neoplasm of testis
D29.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testicular Tumor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C62.0.
Impact
Clinical: Impacts treatment planning and follow-up., Regulatory: Non-compliance with coding guidelines., Financial: Potential for claim denials due to unspecified coding.
Mitigation Strategy
Train staff on importance of documenting laterality, Use templates that prompt for laterality
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases data accuracy for clinical and research purposes.
Mitigation Strategy
Ensure documentation specifies laterality and use C62.1 or C62.0 as appropriate.
Impact
Reimbursement: Incorrect risk adjustment factor calculation., Compliance: Potential audit findings for incorrect coding., Data Quality: Inaccurate patient history records.
Mitigation Strategy
Verify treatment status and use Z85.47 for history when appropriate.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation supports specific code selection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Testicular Tumor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicular Tumor
Use these documentation templates to ensure complete and accurate documentation for Testicular Tumor. These templates include all required elements for proper coding and billing.
Initial Diagnosis of Testicular Cancer
Specialty: UrologyRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Tumor marker levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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