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ICD-10 Coding for Acoustic Neuroma(D33.3)

Complete ICD-10-CM coding and documentation guide for Acoustic Neuroma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Vestibular SchwannomaBenign Neoplasm of Cranial Nerves

Related ICD-10 Code Ranges

Complete code families applicable to Acoustic Neuroma

D33-D33.9Primary Range

Benign neoplasms of brain and other parts of central nervous system

This range includes benign neoplasms of cranial nerves, specifically D33.3 for acoustic neuroma.

Conductive and sensorineural hearing loss

Used for documenting associated hearing loss with acoustic neuroma.

Other disorders of ear, not elsewhere classified

Includes tinnitus and other ear-related symptoms associated with acoustic neuroma.

Key Information: ICD-10 code for acoustic neuroma

Essential facts and insights about Acoustic Neuroma

The ICD-10 code for acoustic neuroma is D33.3, used for benign neoplasms of cranial nerves.

Primary ICD-10-CM Code for acoustic neuroma

Benign neoplasm of cranial nerves
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed benign tumor on cranial nerves via imaging

documentation Criteria

  • Detailed audiometric and imaging findings

Applicable To

  • Acoustic neuroma
  • Vestibular schwannoma

Excludes

  • Malignant neoplasm of cranial nerves (C72.4)

Clinical Validation Requirements

  • MRI confirmation of cranial nerve mass
  • Audiometric evidence of sensorineural hearing loss

Code-Specific Risks

  • Misclassification as malignant neoplasm
  • Omission of laterality

Coding Notes

  • Ensure laterality is documented and coded correctly.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Unilateral sensorineural hearing loss

H90.3-
Document hearing loss associated with the tumor.

Tinnitus

H93.1-
Document tinnitus symptoms associated with the tumor.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Malignant neoplasm of acoustic nerve

C72.4
Use only if there is histological evidence of malignancy.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Acoustic Neuroma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D33.3.

Impact

Clinical: Inaccurate representation of the condition, Regulatory: Non-compliance with ICD-10 coding guidelines, Financial: Potential claim denials or delays

Mitigation Strategy

Always document the side affected by the tumor, Use templates that prompt for laterality

Impact

Reimbursement: Incorrect coding may lead to higher reimbursement claims, risking audits., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Verify histological findings to confirm benign nature before coding.

Impact

Using C72.4 without histological confirmation.

Mitigation Strategy

Require biopsy results before coding as malignant.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Acoustic Neuroma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Acoustic Neuroma

Use these documentation templates to ensure complete and accurate documentation for Acoustic Neuroma. These templates include all required elements for proper coding and billing.

Acoustic Neuroma with Hearing Loss

Specialty: Otolaryngology

Required Elements

  • Patient history
  • Audiometric results
  • MRI findings
  • Symptoms

Example Documentation

Patient presents with progressive right-sided hearing loss and tinnitus. MRI shows a 2.5 cm right cerebellopontine angle mass consistent with acoustic neuroma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Hearing loss, right ear.
Good Documentation Example
Progressive right-sided sensorineural hearing loss (PTA 55 dB, SD 60%), ipsilateral tinnitus, and unsteady gait. MRI confirms 1.8 cm right cerebellopontine angle mass consistent with acoustic neuroma.
Explanation
The good example provides specific audiometric data and imaging confirmation, supporting the diagnosis and coding.

Need help with ICD-10 coding for Acoustic Neuroma? Ask your questions below.

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