ICD-10 Coding for Testicular Mass(D29.21, D40.11)
Complete ICD-10-CM coding and documentation guide for Testicular Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicular Mass
D29.2-D29.22Primary Range
Benign neoplasms of male genital organs
Covers benign testicular masses confirmed by biopsy or imaging.
Neoplasms of uncertain behavior of male genital organs
Used when the behavior of the testicular mass is uncertain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D29.21 | Benign neoplasm of right testis | Use when a benign mass is confirmed in the right testis. |
|
| D40.11 | Neoplasm of uncertain behavior of right testis | Use when the behavior of the mass is uncertain in the right testis. |
|
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 benign testicular mass
Essential facts and insights about Testicular Mass
Primary ICD-10-CM Codes for testicular mass
Decision Criteria
clinical Criteria
- Biopsy confirms benign neoplasm
documentation Criteria
- Documentation specifies right testis and benign nature
Applicable To
- Leydig cell tumor (benign)
Excludes
- Malignant neoplasm of testis (C62.-)
Clinical Validation Requirements
- Biopsy confirms benign nature
- Imaging shows no malignant features
Code-Specific Risks
- Incorrectly coding as malignant without confirmation
Coding Notes
- Ensure documentation specifies benign nature and laterality.
D40.11 - Neoplasm of uncertain behavior of right testis
Use when the behavior of the mass is uncertain in the right testis.
Applicable To
- Mass with indeterminate pathology
Excludes
- Benign neoplasm of testis (D29.2-)
- Malignant neoplasm of testis (C62.-)
Clinical Validation Requirements
- Pathology report states uncertain behavior
- Imaging shows mixed echogenicity
Coding Notes
Ensure pathology report supports uncertain behavior.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testicular Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D29.21.
Impact
Clinical: May lead to incorrect treatment planning, Regulatory: Non-compliance with coding guidelines, Financial: Potential for denied claims or reduced reimbursement
Mitigation Strategy
Always include laterality in clinical documentation, Use templates that prompt for laterality
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment, Compliance: Increased risk of audit due to lack of specificity, Data Quality: Decreased accuracy in health records
Mitigation Strategy
Query provider for laterality and descension status; use C62.9 only if this information is unavailable.
Impact
Using unspecified codes when specific information is available.
Mitigation Strategy
Ensure all available clinical information is documented and used for coding.
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 Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicular Mass
Use these documentation templates to ensure complete and accurate documentation for Testicular Mass. These templates include all required elements for proper coding and billing.
Benign testicular mass confirmed by biopsy
Specialty: UrologyRequired Elements
- Patient history
- Physical exam findings
- Imaging results
- Biopsy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Testicular Mass? Ask your questions below.