Facebook tracking pixelHistory of Testicular Cancer - AI-Powered ICD-10 Documentation
Z85.47
ICD-10-CM
History of Testicular Cancer

Find comprehensive information on documenting a history of testicular cancer. This resource covers clinical documentation, medical coding (ICD-10 C62), testicular cancer staging, tumor markers (AFP, HCG, LDH), orchiectomy, retroperitoneal lymph node dissection (RPLND), and surveillance after testicular cancer treatment. Learn about capturing relevant past medical history, including dates of diagnosis, treatment details, and current disease status for accurate healthcare records and optimized billing.

Also known as

Testicular Cancer History
Past Testicular Cancer

Diagnosis Snapshot

Key Facts
  • Definition : Prior diagnosis of testicular germ cell tumor (seminoma or non-seminoma) treated with surgery, chemotherapy, or radiation.
  • Clinical Signs : Often no signs, but may include a history of testicular lump, swelling, or pain. Follow-up is crucial for detecting recurrence.
  • Common Settings : Oncology clinics, urology departments, primary care physician offices for survivorship care and surveillance.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z85.47 Coding
Z85.1

Personal history of malignant neoplasm of testis

Indicates a past diagnosis of testicular cancer.

C62

Malignant neoplasm of testis

Classifies current testicular cancers by specific type and location.

Z08-Z13

Persons encountering health services

May be used for follow-up or surveillance after cancer treatment.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the testicular cancer currently active?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Testicular cancer
Germ cell tumor, testis
Leydig cell tumor

Documentation Best Practices

Documentation Checklist
  • Laterality (right, left, bilateral)
  • Date of diagnosis or onset
  • Type and stage of testicular cancer
  • Treatment summary (e.g., orchiectomy, chemotherapy)
  • Current disease status (active, remission, recurrence)

Coding and Audit Risks

Common Risks
  • Laterality Documentation

    Missing documentation specifying right, left, or bilateral involvement creates coding ambiguity for Z85.4.

  • Active vs. History

    Incorrectly coding active cancer (C62.-) when patient has history of cancer (Z85.4) leads to overbilling and quality issues.

  • Type/Stage Specificity

    Lack of detail about type and stage impacts accurate Z85.4 sub-coding for data analysis and reimbursement.

Mitigation Tips

Best Practices
  • Document laterality, primary/recurrent, histology, and stage for accurate ICD-10 coding (C62.-).
  • Ensure CDI capture of treatment details like orchiectomy, chemo, and radiation for correct coding.
  • Abstract precise dates of diagnosis, treatment, and recurrence per guidelines for optimal reimbursement.
  • Validate history of testicular cancer documentation against pathology reports for compliance and data integrity.
  • Regularly audit charts for complete staging (TNM) and tumor markers (AFP, hCG, LDH) for quality reporting.

Clinical Decision Support

Checklist
  • Confirm prior testicular cancer diagnosis (ICD-10 C62)
  • Verify laterality (right, left, bilateral) in record
  • Check pathology report for histology and staging
  • Review treatment summary (orchiectomy, chemo, radiation)

Reimbursement and Quality Metrics

Impact Summary
  • History of testicular cancer ICD-10 Z85.4, accurate coding maximizes reimbursement.
  • Proper Z85.4 coding impacts cancer registry data, improving quality reporting.
  • Testicular cancer history coding affects hospital case mix index and resource allocation.
  • Accurate Z85.4 diagnosis coding ensures appropriate patient risk stratification and care.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z85.4 for personal history
  • Document laterality, site, date
  • Specify type, e.g., seminoma
  • Use C73.00-C73.92 for active cancer
  • Check for mets, code if present

Documentation Templates

Patient presents with a history of testicular cancer, diagnosed on [Date of Diagnosis] as [Specific Histologic Type, e.g., seminoma, non-seminoma, mixed germ cell tumor].  Initial presentation included [Symptoms at presentation, e.g., painless testicular mass, testicular swelling, scrotal heaviness, back pain].  Initial tumor markers were [e.g., AFP, beta-hCG, LDH] at [Values at diagnosis].  Staging workup, including [Imaging studies performed, e.g., scrotal ultrasound, CT scan of abdomen and pelvis, chest x-ray], revealed [Stage at diagnosis, e.g., Stage I, Stage II, Stage III].  Initial treatment consisted of [Treatment received, e.g., radical orchiectomy, retroperitoneal lymph node dissection (RPLND), chemotherapy regimen specified].  Patient reports [Current status, e.g., no evidence of disease, persistent disease, recurrence].  Current surveillance includes [Ongoing monitoring plan, e.g., physical exam, tumor marker monitoring, imaging studies] with frequency of [Frequency of follow-up]. Patient denies [Pertinent negatives, e.g., new or worsening symptoms, pain, swelling].  Physical exam reveals [Findings, e.g., normal scrotal examination, palpable mass, lymphadenopathy].  Assessment:  History of testicular cancer, [Current status, e.g., in remission, with persistent disease, recurrent]. Plan:  Continue current surveillance plan.  Patient education provided regarding the importance of adherence to the follow-up schedule and reporting any new or recurrent symptoms.  Differential diagnoses considered at initial presentation included [Differential diagnoses, e.g., epididymitis, orchitis, testicular torsion, spermatocele, hydrocele].  ICD-10 code: C62.9 (Malignant neoplasm of testis, unspecified) or specify other C62 code as appropriate.