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ICD-10 Code C60.1 | Malignant neoplasm of glans penis Symptoms, Diagnosis, Billing

Malignant neoplasm of the glans penis is a rare but serious condition characterized by the uncontrolled growth of malignant cells in the glans penis. This neoplasm can arise from various etiological factors, including HPV infection and poor hygiene. Accurate coding with ICD-10 Code C60.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code C60.1 for Malignant neoplasm of glans penis?

ICD-10 Code C60.1 specifically denotes malignant neoplasm of the glans penis. This code is utilized when documenting cases of penile cancer localized to the glans. It is crucial for healthcare providers to use this code accurately in clinical documentation and billing to reflect the severity and nature of the disease, facilitating appropriate treatment and reimbursement.

ICD-10 Code C60.1 – Clinical Definition and Explanation of Malignant neoplasm of glans penis

Malignant neoplasm of the glans penis is primarily caused by factors such as human papillomavirus (HPV) infection, chronic irritation, and poor hygiene. The condition can progress rapidly, leading to significant morbidity and necessitating prompt medical intervention.

Key Clinical Features:

  • Presence of a painless ulcer or growth on the glans.
  • Possible bleeding or discharge from the lesion.
  • Lymphadenopathy in regional lymph nodes.
  • Symptoms of pain or discomfort during urination.

ICD-10 Code C60.1 for Malignant neoplasm of glans penis – SOAP Notes & Clinical Use

ICD-10 Code C60.1 is integral to SOAP notes, aiding in the documentation of symptoms, assessments, and treatment plans for patients with malignant neoplasm of the glans penis. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code C60.1 for Malignant neoplasm of glans penis Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C60.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of malignant neoplasm of the glans penis. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C60.1 – Malignant neoplasm of glans penis

Malignant neoplasm of the glans penis requires urgent medical attention, often necessitating hospitalization for treatment. Surgical intervention is typically the primary approach.

Antibiotic Therapy:

  • Not applicable as this is not an infectious condition.

Supportive Care:

  • Pain management with analgesics.
  • Wound care for surgical sites.
  • Psychosocial support for patients and families.

Infection Control:

  • Standard precautions during treatment.
  • Education on hygiene practices post-surgery.

How to Document Symptoms of Malignant neoplasm of glans penis (ICD-10 C60.1) in SOAP Notes

Subjective:

  • Patient reports a painless lesion on the glans penis.
  • History of HPV infection noted.
  • Complaints of occasional bleeding from the lesion.
  • No significant urinary symptoms reported.

Objective:

  • Physical examination reveals a 2 cm ulcerated lesion on the glans.
  • Regional lymph nodes palpated, enlarged and tender.
  • No signs of systemic infection observed.
  • Vital signs stable.
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SOAP Note Guidelines for Diagnosing Malignant neoplasm of glans penis (ICD-10 Code C60.1)

Assessment:

  • Diagnosis: Malignant neoplasm of glans penis, C60.1, moderate severity.
  • No applicable subcodes.
  • Contributing factors include HPV infection and poor hygiene.

Plan:

  • Refer to urology for surgical evaluation.
  • Consider imaging studies for staging.
  • Educate patient on hygiene and follow-up care.
  • Schedule follow-up appointment in 2 weeks.

Treatment & Plan Section for ICD-10 Code C60.1 – Malignant neoplasm of glans penis

  • Surgical excision of the neoplasm as primary treatment.
  • Consideration of chemotherapy or radiation therapy based on staging.
  • Patient education on self-examination and hygiene practices.
  • Regular follow-up for monitoring recurrence.

Using ICD-10 Code C60.1 for Malignant neoplasm of glans penis in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings.
  • Use C60.1 in appropriate clinical settings for billing.
  • Align treatment plans with clinical guidelines for justified billing.
  • Document any relevant comorbidities or complications.

ICD-10 Code C60.1 in Medical Billing and Insurance for Malignant neoplasm of glans penis

ICD-10 Code C60.1 is critical in medical billing, particularly in hospital, ER, or oncology settings.

Billing Notes:

  • Document all relevant clinical findings to support the claim.
  • Use C60.1 in conjunction with surgical codes for accurate billing.
  • Ensure compliance with payer-specific guidelines for documentation.
  • Include detailed notes on treatment plans and patient education.

Common CPT Pairings:

CPT CodeDescription
11604Excision, malignant skin lesion, excised diameter over 4.0 cm.
38500Biopsy of lymph nodes, open, for staging.
99214Established patient office visit, moderate complexity.

Frequently Asked Questions

Common Questions About Using ICD-10 Code C60.1 for Malignant neoplasm of glans penis

What are the common symptoms of malignant neoplasm of the glans penis?

Common symptoms include a painless lesion or ulcer on the glans, possible bleeding, and regional lymphadenopathy. Patients may also experience discomfort during urination.

How is malignant neoplasm of the glans penis diagnosed?

Diagnosis typically involves a physical examination, biopsy of the lesion, and imaging studies to assess for metastasis. ICD-10 Code C60.1 is used to document the diagnosis.

What treatment options are available for this condition?

Treatment usually involves surgical excision of the tumor. Depending on the stage, additional therapies such as chemotherapy or radiation may be considered.

Is malignant neoplasm of the glans penis preventable?

While not all cases are preventable, practicing good hygiene, safe sexual practices, and HPV vaccination can reduce the risk of developing penile cancer.

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