ICD-10 Coding for Adrenal Adenoma(D35.00)
Complete ICD-10-CM coding and documentation guide for Adrenal Adenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Adenoma
D35.0-D35.9Primary Range
Benign neoplasms of endocrine glands
This range includes benign tumors of the adrenal gland, such as adrenal adenomas.
Malignant neoplasms of adrenal gland
This range is used to code malignant adrenal tumors, which must be differentiated from benign adenomas.
Key Information: ICD-10 code for adrenal adenoma
Essential facts and insights about Adrenal Adenoma
Primary ICD-10-CM Code for adrenal adenoma
Decision Criteria
clinical Criteria
- Imaging shows homogeneous mass with HU ≤10
documentation Criteria
- Pathology report confirms benign adenoma
Applicable To
- Benign adrenal adenoma
Excludes
- Malignant neoplasm of adrenal gland (C74.-)
Clinical Validation Requirements
- Noncontrast CT shows homogeneous mass ≤10 HU
- Absolute washout >60% on adrenal protocol CT
- No uptake on FDG-PET
- Mitotic count <5/50 HPF
Code-Specific Risks
- Confusion with malignant adrenal tumors if not properly documented.
Coding Notes
- Ensure documentation specifies benign nature and imaging characteristics.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cushing's syndrome
E24.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Malignant neoplasm of cortex of adrenal gland
C74.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adrenal Adenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D35.00.
Impact
Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Always document laterality in imaging and clinical notes.
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment and reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data and patient records.
Mitigation Strategy
Verify pathology reports and imaging studies to confirm benign nature.
Impact
Incomplete documentation can lead to audit findings.
Mitigation Strategy
Ensure all required elements are documented, including size, laterality, and imaging characteristics.
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 Adrenal Adenoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Adenoma
Use these documentation templates to ensure complete and accurate documentation for Adrenal Adenoma. These templates include all required elements for proper coding and billing.
Adrenal Adenoma Evaluation
Specialty: EndocrinologyRequired Elements
- Size and laterality of the tumor
- Imaging characteristics
- Biochemical workup results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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