C62.12
C62.12: Malignant neoplasm of descended left testis
Billable / specific codeICD-10-CMleft
C62.12 is a billable, specific ICD-10-CM code for malignant neoplasm of descended left testis. It is valid for submission on a claim.
Check C62.12 with the rest of the claim: free scrubberOther codes that can never be billed with C62.12
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C75Malignant neoplasm of other endocrine glands and related structures
Risk adjustment
C62.12 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C62.12 is named in 49 Medicare coverage policies: 49 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
Code history
Unchanged in every release from FY2024 to FY2027.