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ICD-10 Coding for Angiosarcoma(C49.9, C44.5)

Complete ICD-10-CM coding and documentation guide for Angiosarcoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Vascular sarcomaHemangiosarcoma

Related ICD-10 Code Ranges

Complete code families applicable to Angiosarcoma

C44-C49Primary Range

Malignant neoplasms of skin and soft tissue

This range includes codes for angiosarcoma based on specific sites such as skin and soft tissue.

Secondary malignant neoplasm of other sites

Used for coding metastases of angiosarcoma to other organs.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
C49.9Malignant neoplasm of connective and soft tissue, unspecifiedUse when angiosarcoma is confirmed in soft tissue without a specified site.
  • Histological confirmation of angiosarcoma
  • Immunohistochemical markers such as CD31, CD34
C44.5Malignant neoplasm of skinUse for angiosarcoma primarily affecting the skin.
  • Histological confirmation with skin biopsy
  • Immunohistochemical markers such as CD31, CD34

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 angiosarcoma

Essential facts and insights about Angiosarcoma

The ICD-10 code for angiosarcoma varies by site: C49.9 for soft tissue, C44.5 for skin.

Primary ICD-10-CM Codes for angiosarcoma

Malignant neoplasm of connective and soft tissue, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed diagnosis of angiosarcoma in soft tissue

Applicable To

  • Primary angiosarcoma of soft tissue

Excludes

  • Benign neoplasms of soft tissue

Clinical Validation Requirements

  • Histological confirmation of angiosarcoma
  • Immunohistochemical markers such as CD31, CD34

Code-Specific Risks

  • Misclassification with benign soft tissue tumors

Coding Notes

  • Ensure histological confirmation before coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Secondary malignant neoplasm of bone

C79.51
Use when angiosarcoma has metastasized to bone.

Personal history of irradiation

Z92.3
Use when angiosarcoma is radiation-induced.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Malignant neoplasm of skin

C44.5
Use C44.5 for cutaneous angiosarcoma.

Malignant neoplasm of breast

C50.9
Use C50.9 for breast cancer, not for skin angiosarcoma.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Angiosarcoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C49.9.

Impact

Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential loss of reimbursement for metastatic treatment.

Mitigation Strategy

Ensure all metastatic sites are documented.

Impact

Reimbursement: Incorrect site coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for epidemiological studies.

Mitigation Strategy

Verify the primary site of the tumor before coding.

Impact

Incorrect site coding can lead to audit flags.

Mitigation Strategy

Verify site with imaging and pathology before coding.

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 Angiosarcoma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Angiosarcoma

Use these documentation templates to ensure complete and accurate documentation for Angiosarcoma. These templates include all required elements for proper coding and billing.

Radiation-induced angiosarcoma

Specialty: Oncology

Required Elements

  • Patient history of radiation
  • Biopsy results
  • Immunohistochemical markers

Example Documentation

Patient with history of radiation therapy presents with scalp lesion. Biopsy confirms angiosarcoma with CD31 positivity.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has a vascular tumor.
Good Documentation Example
Patient has angiosarcoma confirmed by biopsy with CD31 positivity.
Explanation
The good example specifies the diagnosis and supporting evidence.

Need help with ICD-10 coding for Angiosarcoma? Ask your questions below.

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