C63.11
C63.11 — Malignant neoplasm of right spermatic cord
Billable / specific codeICD-10-CMright
C63.11 is a billable, specific ICD-10-CM code for malignant neoplasm of right spermatic cord. It is valid for submission on a claim.
Risk adjustment
C63.11 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.
Medicare coverage
C63.11 is named in 45 Medicare coverage policies — 45 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
Related codes at this level
Codes that share C63.1. If C63.11 is not quite right, the correct code is usually one of these.
Questions about C63.11
- Is C63.11 a billable ICD-10-CM code?
- Yes. C63.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C63.11 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of male genital organs (C60-C63).