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Malignant Neoplasm of the Testis and Paratesticular Tissues B042
Current RMA Instruments:
|Reasonable Hypothesis SOP||3 of 2015|
|Balance of Probabilities SOP||4 of 2015|
Changes from Previous Instruments:
- ICD-9-CM Codes:186, 187.5, 187.6
- ICD-10-AM Codes: C62, C63.0, C63.1
This is a primary malignant neoplasm of the cells of the testicle or paratesticular tissues. The paratesticular tissues include the epididymis, rete testis and vas deferens (spermatic cord), but not the tunica vaginalis of the testis, nor the bladder, urethra or penis.
Is specific diagnostic evidence required to apply the SOP? – Yes.
This diagnosis is based on histopathology of a biopsy or excised lesion. The relevant medical specialist is a urologist or oncologist.
Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
- Malignant neoplasm of the epididymis
- Malignant neoplasm of the rete testis
- Malignant neoplasm of the spermatic cord
Conditions excluded from SOP
- Malignant neoplasm of the bladder, ICD 9 codes 188, 233.7
- Malignant neoplasm of the penis, ICD 9 code 187.1-4
- Malignant neoplasm of the scrotum, ICD 9 code 187.7
- Malignant neoplasm of the seminal vesicles, ICD 9 codes 187.8
- Malignant neoplasm of the urethra, ICD 9 code 189.3
- Secondary neoplasms (metastases) to the testes or paratesticular tissues
- Hodgkin’s lymphoma
- Non-Hodgkin’s lymphoma
- Soft tissue sarcoma
If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.