ICD-10 Coding for History of Testicular Cancer(Z85.47, Z80.43)
Complete ICD-10-CM coding and documentation guide for History of Testicular Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Testicular Cancer
Z85.47Primary Range
Personal history of malignant neoplasm of testis
Used for patients with a history of testicular cancer after treatment completion and no current evidence of disease.
Family history of malignant neoplasm of testis
Used for documenting family history of testicular cancer, not the patient's own history.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.47 | Personal history of malignant neoplasm of testis | Use when the patient has completed treatment for testicular cancer and is in the surveillance phase. |
|
| Z80.43 | Family history of malignant neoplasm of testis | Use when documenting a family history of testicular cancer. |
|
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 history of testicular cancer
Essential facts and insights about History of Testicular Cancer
Primary ICD-10-CM Codes for history of testicular cancer
Decision Criteria
clinical Criteria
- Patient has completed all cancer treatments and is in remission.
documentation Criteria
- Records must show no current evidence of disease.
Applicable To
- History of seminoma
- History of nonseminoma
Excludes
- Current testicular cancer (C62.90)
Clinical Validation Requirements
- Completed treatment (e.g., orchiectomy, chemotherapy)
- No current evidence of disease
- Normal tumor markers (AFP, hCG, LDH)
Code-Specific Risks
- Incorrectly using for active cancer cases
- Lack of documentation for treatment completion
Coding Notes
- Ensure documentation clearly states 'history of' and includes treatment details.
Z80.43 - Family history of malignant neoplasm of testis
Use when documenting a family history of testicular cancer.
Applicable To
- Family history of seminoma
- Family history of nonseminoma
Excludes
- Personal history of testicular cancer (Z85.47)
Clinical Validation Requirements
- Documentation of family member with testicular cancer
Coding Notes
Ensure family relationship is 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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Testicular Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.47.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with documentation standards., Financial: Potential audit triggers and reimbursement issues.
Mitigation Strategy
Use specific terms like 'history of' and include treatment details.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records affecting treatment decisions.
Mitigation Strategy
Use C62.90 for active testicular cancer.
Impact
Using Z85.47 for active cancer cases.
Mitigation Strategy
Ensure documentation supports history status with treatment completion and current disease-free status.
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 History of Testicular Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Testicular Cancer
Use these documentation templates to ensure complete and accurate documentation for History of Testicular Cancer. These templates include all required elements for proper coding and billing.
Post-treatment surveillance
Specialty: OncologyRequired Elements
- Patient history
- Treatment details
- Current status
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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