2025 ICD-10-CM code C63
(Active) Effective Date: N/A Neoplasms - Malignant neoplasms of male genital organs (C60-C63) 2: Neoplasms (C00-D49) Feed
Malignant neoplasm of other and unspecified male genital organs. This code encompasses cancers of the male genitalia not otherwise specified, including when the specific location is unknown.
Medical necessity must be established for all services related to the diagnosis and treatment of the neoplasm. Documentation justifying the procedures performed and their relation to the patient's condition should be provided.Any specific payer requirements for medical necessity documentation should be adhered to.
Clinicians should document detailed findings related to the location, size, and characteristics of the malignancy, along with any associated symptoms.Staging information, diagnostic procedures (e.g., biopsy, imaging studies), and treatment plans should be recorded meticulously.If the specific location within the male genitalia is known, a more precise code should be used.This code necessitates clear documentation regarding the diagnostic process and the basis for assigning this code when a more precise location is not identifiable.
- 2: Neoplasms (C00-D49)
- Malignant neoplasms, stated or presumed to be primary (of specified sites), and certain specified histologies, except neuroendocrine, and of lymphoid, hematopoietic and related tissue (C00-C75)Malignant neoplasms of male genital organs (C60-C63)
In simple words: This code indicates cancer in the male genital area, excluding the penis, prostate, and testicles. It's used when the exact location isn't known or specified.
This code represents a malignant neoplasm affecting male genital organs that are not classified under other, more specific codes within the C60-C63 range.It is used when the specific site within the male genital system is not documented or is unspecified. This includes cases where the primary site is unknown or when the malignancy overlaps multiple, non-contiguous sites of the male genitalia.
Example 1: A patient presents with a mass in the groin area. Biopsy confirms malignancy, but the precise origin within the male genital system is unclear after imaging. C63 is used., A patient with a history of an undescended testicle develops a malignant neoplasm in the abdomen. If the origin from the testicle cannot be definitively established, code C63 is assigned., A patient has a malignancy involving both the scrotum and the spermatic cord, which are contiguous.C63.8 would be used to indicate the overlapping nature of the malignancy.
Documentation should include details of the patient's history, physical exam findings, imaging studies (e.g., CT, MRI, ultrasound), biopsy results with pathology reports, and any other relevant diagnostic tests.The reason for the unspecified nature of the malignancy should be clearly stated. For example, if the primary site is unknown or the tumor involves multiple overlapping regions of the male genitalia, this should be documented explicitly.
** This code is for general use when the specific location within the male genital organs cannot be determined. If laterality is known (e.g., right or left), and a more specific code is unavailable,it should be documented separately. Be sure to consult iFrameAI for detailed and current coding and billing practices.
- Payment Status: Active
- Specialties:Urology, Oncology, Pathology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office, and other places where diagnostic and treatment services are provided.