ICD-10 Coding for Adrenal Tumor(C74.0, D3a.0, E27.8)
Complete ICD-10-CM coding and documentation guide for Adrenal Tumor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Tumor
C74-C74.92Primary Range
Malignant neoplasms of adrenal gland
This range includes codes for primary malignant tumors of the adrenal gland, crucial for accurate diagnosis and treatment planning.
Benign neoplasms of adrenal gland
This range covers benign adrenal tumors, important for distinguishing from malignant conditions.
Other specified disorders of adrenal gland
Used for non-neoplastic adrenal disorders that may mimic tumor symptoms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C74.0 | Malignant neoplasm of cortex of adrenal gland | Use when a malignant adrenal cortical tumor is confirmed by histopathology. |
|
| D3a.0 | Benign neoplasm of adrenal gland | Use for confirmed benign adrenal tumors. |
|
| E27.8 | Other specified disorders of adrenal gland | Use for non-neoplastic adrenal disorders. |
|
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 tumor
Essential facts and insights about Adrenal Tumor
Primary ICD-10-CM Codes for adrenal tumor
Decision Criteria
clinical Criteria
- Presence of malignant features on imaging and histology
Applicable To
- Adrenal cortical carcinoma
Excludes
- Benign adrenal neoplasm (D3a.0)
Clinical Validation Requirements
- Weiss score ≥3
- Invasion of periadrenal fat
- Ki67 >5%
Code-Specific Risks
- Misclassification without Weiss score
Coding Notes
- Ensure documentation includes tumor size, Weiss score, and invasion status.
D3a.0 - Benign neoplasm of adrenal gland
Use for confirmed benign adrenal tumors.
Applicable To
- Adrenal adenoma
Excludes
- Malignant adrenal neoplasm (C74.0)
Clinical Validation Requirements
- Weiss score ≤2
- HU ≤10 on CT
Coding Notes
Document imaging and histological findings clearly.
E27.8 - Other specified disorders of adrenal gland
Use for non-neoplastic adrenal disorders.
Applicable To
- Adrenal hyperplasia
Excludes
- Adrenal neoplasm (C74, D3a)
Clinical Validation Requirements
- Elevated cortisol without mass
Coding Notes
Ensure clear differentiation from neoplastic conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Carcinoid syndrome
E34.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adrenal Tumor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C74.0.
Impact
Clinical: Leads to misclassification of tumor type., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure pathology reports include Weiss score.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Always document and verify the Weiss score and histological findings.
Impact
Misclassification of tumor type due to incomplete documentation.
Mitigation Strategy
Ensure comprehensive documentation including Weiss score and histological 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 Tumor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Tumor
Use these documentation templates to ensure complete and accurate documentation for Adrenal Tumor. These templates include all required elements for proper coding and billing.
Malignant adrenal tumor
Specialty: OncologyRequired Elements
- Tumor size
- Weiss score
- Invasion status
- Ki67 index
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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