ICD-10 Coding for Adrenal Mass(E27.8, C74.90)
Complete ICD-10-CM coding and documentation guide for Adrenal Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Mass
E27-E27.9Primary Range
Other disorders of adrenal gland
This range includes codes for various adrenal disorders, including non-neoplastic adrenal masses.
Malignant neoplasm of adrenal gland
This range is used for coding malignant adrenal tumors, such as adrenal cortical 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 |
|---|---|---|---|
| E27.8 | Other specified disorders of adrenal gland | Use for benign adrenal masses without hormone excess. |
|
| C74.90 | Malignant neoplasm of adrenal gland, unspecified | Use for confirmed malignant adrenal tumors. |
|
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 mass
Essential facts and insights about Adrenal Mass
Primary ICD-10-CM Codes for adrenal mass
Decision Criteria
clinical Criteria
- Homogeneous lesion ≤10 HU on CT
documentation Criteria
- Detailed imaging and hormonal status
Applicable To
- Benign adrenal masses
- Adrenal hyperplasia
Excludes
- Malignant neoplasm of adrenal gland (C74.-)
Clinical Validation Requirements
- Imaging shows homogeneous lesion ≤10 Hounsfield units (HU) on unenhanced CT
- No biochemical evidence of hormone secretion
Code-Specific Risks
- Misclassification of malignant tumors as benign
Coding Notes
- Ensure documentation specifies imaging and hormonal findings.
C74.90 - Malignant neoplasm of adrenal gland, unspecified
Use for confirmed malignant adrenal tumors.
Applicable To
- Adrenal cortical carcinoma
Excludes
- Benign adrenal neoplasm (D35.0)
Clinical Validation Requirements
- Heterogeneous mass >4 cm
- HU >20 on CT
- Rapid growth (>1 cm/year)
Coding Notes
Document histological confirmation and metastatic sites.
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 Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.8.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the side of the adrenal mass.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code primary malignancy and use C79.71 for adrenal metastasis.
Impact
Risk of coding benign masses as malignant or vice versa.
Mitigation Strategy
Implement regular training on imaging and hormonal criteria.
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 Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Mass
Use these documentation templates to ensure complete and accurate documentation for Adrenal Mass. These templates include all required elements for proper coding and billing.
Adrenal Mass Evaluation
Specialty: EndocrinologyRequired Elements
- Imaging findings
- Hormonal workup results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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