2024 ICD-10-CM Diagnosis Code D07.69

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Carcinoma in situ of epididymis
• Carcinoma in situ of spermatic cord
• Carcinoma in situ of testis
• Carcinoma in situ of undescended testis
• Carcinoma in situ of vas deferens
• Neoplasm of undescended testis
• Neoplasm of vas deferens

Clinical Information

• Epididymis

  the convoluted cordlike structure attached to the posterior of the testis. epididymis consists of the head (caput), the body (corpus), and the tail (cauda). a network of ducts leaving the testis joins into a common epididymal tubule proper which provides the transport, storage, and maturation of spermatozoa.

• Spermatic Cord

  either of a pair of tubular structures formed by ductus deferens; arteries; veins; lymphatic vessels; and nerves. the spermatic cord extends from the deep inguinal ring through the inguinal canal to the testis in the scrotum.

• Spermatic Cord Torsion

  the twisting of the spermatic cord due to an anatomical abnormality that left the testis mobile and dangling in the scrotum. the initial effect of testicular torsion is obstruction of venous return. depending on the duration and degree of cord rotation, testicular symptoms range from edema to interrupted arterial flow and testicular pain. if blood flow to testis is absent for 4 to 6 h, spermatogenesis may be permanently lost.

• Sterilization Reversal

  procedures to reverse the effect of reproductive sterilization and to regain fertility. reversal procedures include those used to restore the flow in the fallopian tube or the vas deferens.

• Vas Deferens

  the excretory duct of the testes that carries spermatozoa. it rises from the scrotum and joins the seminal vesicles to form the ejaculatory duct.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

• Diagnoses for males only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to MALES only .

D07.69 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	12	2.2075
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	12	1.4222

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert D07.69 to ICD-9-CM

• ICD-9-CM Code: 233.6 - Ca in situ male gen NEC
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Table of Neoplasms

This code is referenced in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Filter table of neoplasms:

Neoplasm, neoplastic	Malignant Primary	Malignant Secondary	CaInSitu	Benign	Uncertain Behavior	Unspecified Behavior
»Neoplasm, neoplastic   »cord (true) (vocal)     »spermatic	C63.1	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »ejaculatory duct	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »epididymis	C63.0	C79.82	D07.69	D29.3	D40.8	D49.59
»Neoplasm, neoplastic   »genital organ or tract     »male NEC       »specified site NEC	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »Mullerian duct     »male	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »seminal vesicle	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »spermatic cord	C63.1	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »testis, testes	C62.9	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »testis, testes     »descended	C62.1	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »testis, testes     »ectopic	C62.0	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »testis, testes     »retained	C62.0	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »testis, testes     »scrotal	C62.1	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »testis, testes     »undescended	C62.0	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »testis, testes     »unspecified whether descended or undescended	C62.9	C79.82	D07.69	D29.2	D40.1	D49.59
»Neoplasm, neoplastic   »tunica vaginalis	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »vas deferens	C63.1	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »vesicle, seminal	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59
»Neoplasm, neoplastic   »wolffian (body) (duct)     »male	C63.7	C79.82	D07.69	D29.8	D40.8	D49.59

Patient Education

Cancer

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute

[Learn More in MedlinePlus]

Penis Disorders

Problems with the penis can cause pain and affect a man's sexual function and fertility. Penis disorders include:

• Erectile dysfunction - inability to get or keep an erection
• Priapism - a painful erection that does not go away
• Peyronie's disease - bending of the penis during an erection due to a hard lump called a plaque
• Balanitis - inflammation of the skin covering the head of the penis, most often in men and boys who have not been circumcised
• Penile cancer - a rare form of cancer, highly curable when caught early

[Learn More in MedlinePlus]

Testicular Disorders

Testicles, or testes, make male hormones and sperm. They are two egg-shaped organs inside the scrotum, the loose sac of skin behind the penis. It's easy to injure your testicles because they are not protected by bones or muscles. Men and boys should wear athletic supporters when they play sports.

You should examine your testicles monthly and seek medical attention for lumps, redness, pain or other changes. Testicles can get inflamed or infected. They can also develop cancer. Testicular cancer is rare and highly treatable. It usually happens between the ages of 15 and 40.

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.