ICD-10 Coding for Adrenal Gland Nodule(E27.9, D35.0x)
Complete ICD-10-CM coding and documentation guide for Adrenal Gland Nodule. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Gland Nodule
E27-E27.9Primary Range
Other disorders of adrenal gland
Covers unspecified adrenal disorders including non-functional nodules.
Benign neoplasm of adrenal gland
Used for confirmed benign adrenal tumors such as adenomas.
Neoplasm of uncertain behavior of adrenal gland
Applied when imaging is indeterminate and biopsy is not confirmatory.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E27.9 | Unspecified disorder of adrenal gland | Use when imaging shows a non-functional nodule with benign characteristics. |
|
| D35.0x | Benign neoplasm of adrenal gland | Use when biopsy confirms benign nature of the adrenal lesion. |
|
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 adrenal gland nodule
Essential facts and insights about Adrenal Gland Nodule
Primary ICD-10-CM Codes for adrenal gland nodule
Decision Criteria
clinical Criteria
- Non-contrast CT HU ≤10 and no hormonal activity
documentation Criteria
- Imaging report specifying non-functional characteristics
Applicable To
- Adrenal incidentaloma
- Non-functional adrenal nodule
Clinical Validation Requirements
- Non-contrast CT HU ≤10
- No hormonal hypersecretion
- Size <4 cm
Code-Specific Risks
- Misclassification if hormonal activity is present
- Incorrect use without imaging confirmation
Coding Notes
- Ensure imaging and hormonal studies are documented to support non-functional status.
D35.0x - Benign neoplasm of adrenal gland
Use when biopsy confirms benign nature of the adrenal lesion.
Applicable To
- Adrenal adenoma
- Myelolipoma
Excludes
- Adrenal carcinoma (C74.x)
Clinical Validation Requirements
- Biopsy confirmation of benign histology
- MRI showing lipid-rich lesion
Coding Notes
Biopsy results must be documented to confirm benign status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal findings on diagnostic imaging of adrenal glands
R93.6Differential 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 Adrenal Gland Nodule to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.9.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect billing for benign neoplasm without confirmation., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure biopsy results are documented before using D35.0x.
Impact
Using D35.0x without biopsy confirmation.
Mitigation Strategy
Require biopsy confirmation before coding as benign.
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 Gland Nodule, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Gland Nodule
Use these documentation templates to ensure complete and accurate documentation for Adrenal Gland Nodule. These templates include all required elements for proper coding and billing.
Radiology Report for Adrenal Nodule
Specialty: RadiologyRequired Elements
- Nodule size and location
- Non-contrast HU value
- Washout percentage
- Hormonal workup results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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