ICD-10 Coding for Adrenal Lesion(E27.8, D35.0)
Complete ICD-10-CM coding and documentation guide for Adrenal Lesion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Lesion
E27.0-E27.9Primary Range
Other disorders of adrenal gland
Covers various adrenal disorders including non-neoplastic lesions.
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 for non-neoplastic adrenal lesions with specific imaging characteristics. |
|
| D35.0 | Benign neoplasm of adrenal gland | Use when histology confirms benign adrenal 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 lesion
Essential facts and insights about Adrenal Lesion
Primary ICD-10-CM Codes for adrenal lesion
Decision Criteria
clinical Criteria
- Lesion with HU ≤10 on CT and no hormonal activity.
Applicable To
- Adrenal cyst
- Bilateral adrenal nodules
- Adrenocortical hyperplasia
Clinical Validation Requirements
- Imaging showing homogeneous lesion with HU ≤10
- No hormonal activity detected
Code-Specific Risks
- Misclassification of neoplastic lesions as non-neoplastic.
Coding Notes
- Ensure documentation specifies non-neoplastic nature.
D35.0 - Benign neoplasm of adrenal gland
Use when histology confirms benign adrenal neoplasm.
Applicable To
- Adrenal adenoma
- Myelolipoma
- Pheochromocytoma (benign)
Excludes
- Malignant neoplasm of adrenal gland (C74.0)
Clinical Validation Requirements
- Histological confirmation of benign neoplasm
Coding Notes
Histological confirmation is crucial for accurate coding.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adrenal Lesion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.8.
Impact
Clinical: Potential misdiagnosis of functional lesions., Regulatory: Non-compliance with documentation standards., Financial: Incorrect coding affecting reimbursement.
Mitigation Strategy
Include hormonal activity results in documentation., Ensure comprehensive imaging reports.
Impact
Reimbursement: Incorrect DRG assignment leading to financial discrepancies., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure histological confirmation before coding as non-neoplastic.
Impact
Risk of coding benign lesions as malignant or vice versa.
Mitigation Strategy
Require histological confirmation and comprehensive imaging documentation.
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 Lesion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Lesion
Use these documentation templates to ensure complete and accurate documentation for Adrenal Lesion. These templates include all required elements for proper coding and billing.
Adrenal lesion found on imaging
Specialty: RadiologyRequired Elements
- Lesion size and location
- Hounsfield units on CT
- Washout characteristics
- Hormonal activity assessment
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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