ICD-10 Coding for Adenoid Cystic Carcinoma(C07, C08.0, C50.91)
Complete ICD-10-CM coding and documentation guide for Adenoid Cystic Carcinoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adenoid Cystic Carcinoma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C07 | Malignant neoplasm of parotid gland | Use when ACC is confirmed in the parotid gland. |
|
| C08.0 | Malignant neoplasm of submandibular gland | Use when ACC is confirmed in the submandibular gland. |
|
| C50.91 | Malignant neoplasm of unspecified site of female breast | Use when ACC is confirmed in the breast. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for adenoid cystic carcinoma
Essential facts and insights about Adenoid Cystic Carcinoma
Primary ICD-10-CM Codes for adenoid cystic carcinoma
Decision Criteria
clinical Criteria
- Biopsy confirms ACC in parotid gland
documentation Criteria
- Document 'adenoid cystic carcinoma of parotid gland' with biopsy confirmation
Applicable To
- Adenoid cystic carcinoma of parotid gland
Excludes
- Benign neoplasm of parotid gland
Clinical Validation Requirements
- Biopsy confirmation showing ACC histology
- Immunohistochemistry positive for CD117
Code-Specific Risks
- Misclassification with other salivary gland neoplasms
Coding Notes
- Ensure precise site documentation to avoid miscoding.
C08.0 - Malignant neoplasm of submandibular gland
Use when ACC is confirmed in the submandibular gland.
Applicable To
- Adenoid cystic carcinoma of submandibular gland
Excludes
- Benign neoplasm of submandibular gland
Clinical Validation Requirements
- Biopsy confirmation showing ACC histology
- Immunohistochemistry positive for CD117
Coding Notes
Ensure precise site documentation to avoid miscoding.
C50.91 - Malignant neoplasm of unspecified site of female breast
Use when ACC is confirmed in the breast.
Applicable To
- Adenoid cystic carcinoma of breast
Excludes
- Benign neoplasm of breast
Clinical Validation Requirements
- Biopsy confirmation showing ACC histology
- Triple-negative breast cancer markers
Coding Notes
Ensure documentation specifies 'adenoid cystic carcinoma' to differentiate from other breast cancers.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adenoid Cystic Carcinoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C07.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding guidelines., Financial: Potential for claim denials.
Mitigation Strategy
Educate staff on site-specific coding, Use decision support tools
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts accuracy of cancer registry data.
Mitigation Strategy
Ensure biopsy and immunohistochemical confirmation of ACC.
Impact
Lack of specific site documentation can lead to audit findings.
Mitigation Strategy
Implement mandatory site documentation checks.
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 Adenoid Cystic Carcinoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adenoid Cystic Carcinoma
Use these documentation templates to ensure complete and accurate documentation for Adenoid Cystic Carcinoma. These templates include all required elements for proper coding and billing.
Pathology report for ACC
Specialty: PathologyRequired Elements
- Tumor size
- Histology
- IHC results
- Molecular findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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