ICD-10 Coding for Adrenal Incidentaloma(E27.8, R90.8, D35.0)
Complete ICD-10-CM coding and documentation guide for Adrenal Incidentaloma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Incidentaloma
E27-E27.9Primary Range
Other disorders of adrenal gland
This range includes codes for various adrenal disorders, including incidental findings and specific adrenal pathologies.
Abnormal findings on diagnostic imaging and in function studies, without diagnosis
Used for incidental findings without a specific diagnosis, such as adrenal incidentalomas without confirmed pathology.
Benign neoplasms of other and unspecified endocrine glands
Applicable when an adrenal mass is confirmed as a benign neoplasm.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E27.8 | Other specified disorders of adrenal gland | Use when a specific adrenal disorder is identified, such as cyst or hyperplasia. |
|
| R90.8 | Other abnormal findings on diagnostic imaging of central nervous system | Use when an adrenal mass is found incidentally and no specific disorder is diagnosed. |
|
| D35.0 | Benign neoplasm of adrenal gland | Use when an adrenal mass is confirmed as a benign neoplasm. |
|
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 incidentaloma
Essential facts and insights about Adrenal Incidentaloma
Primary ICD-10-CM Codes for adrenal incidentaloma
Decision Criteria
clinical Criteria
- Presence of specific adrenal disorder confirmed by imaging or lab tests
Applicable To
- Adrenal cyst
- Adrenal hyperplasia
Excludes
- Adrenal insufficiency (E27.40)
Clinical Validation Requirements
- Imaging showing adrenal mass with specific features
- Hormonal assay results indicating abnormal adrenal function
Code-Specific Risks
- Incorrect use without specific disorder documentation
- Missing laterality in documentation
Coding Notes
- Ensure documentation specifies the type of adrenal disorder to justify E27.8.
R90.8 - Other abnormal findings on diagnostic imaging of central nervous system
Use when an adrenal mass is found incidentally and no specific disorder is diagnosed.
Applicable To
- Incidental adrenal mass
Excludes
- Confirmed adrenal neoplasm (D35.0)
Clinical Validation Requirements
- Imaging showing adrenal mass without specific pathological features
- Negative hormonal workup
Coding Notes
Ensure incidental nature is documented clearly.
D35.0 - Benign neoplasm of adrenal gland
Use when an adrenal mass is confirmed as a benign neoplasm.
Applicable To
- Adrenal adenoma
Excludes
- Malignant neoplasm of adrenal gland (C74.9)
Clinical Validation Requirements
- Biopsy confirming benign nature
- Imaging showing characteristics of benign neoplasm
Coding Notes
Biopsy confirmation is critical for coding D35.0.
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 Adrenal Incidentaloma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.8.
Impact
Clinical: Inaccurate diagnosis representation, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure detailed imaging and lab results are documented, Use specific terminology for adrenal disorders
Impact
Reimbursement: Potential denial due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure documentation specifies the adrenal disorder, such as cyst or hyperplasia.
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Violation of coding specificity rules, Data Quality: Misrepresentation of clinical findings
Mitigation Strategy
Use E27.8 if the mass has specific pathological features.
Impact
Risk of audits due to non-specific coding of adrenal disorders.
Mitigation Strategy
Ensure detailed documentation of imaging and hormonal findings.
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 Incidentaloma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Incidentaloma
Use these documentation templates to ensure complete and accurate documentation for Adrenal Incidentaloma. These templates include all required elements for proper coding and billing.
Adrenal Incidentaloma Evaluation
Specialty: EndocrinologyRequired Elements
- Imaging findings
- Hormonal workup results
- Stability assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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