ICD-10 Coding for Cecum Mass(C18.0, D12.0)
Complete ICD-10-CM coding and documentation guide for Cecum Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cecum Mass
C18.0Primary Range
Malignant neoplasm of cecum
Primary code for malignant tumors located in the cecum.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C18.0 | Malignant neoplasm of cecum | Use when a malignant tumor in the cecum is confirmed by biopsy. |
|
| D12.0 | Benign neoplasm of cecum | Use when a benign tumor in the cecum is confirmed. |
|
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 cecum mass
Essential facts and insights about Cecum Mass
Primary ICD-10-CM Codes for cecum mass
Decision Criteria
clinical Criteria
- Biopsy confirms adenocarcinoma.
Applicable To
- Adenocarcinoma of cecum
- Neuroendocrine tumor of cecum
Excludes
- Benign neoplasm of cecum (D12.0)
Clinical Validation Requirements
- Biopsy-confirmed adenocarcinoma
- CT showing irregular cecal mass
Code-Specific Risks
- Incorrectly coding as C18.9 when cecum is specified.
Coding Notes
- Ensure documentation specifies malignancy type and location.
D12.0 - Benign neoplasm of cecum
Use when a benign tumor in the cecum is confirmed.
Applicable To
- Cecal lipoma
- Cecal leiomyoma
Excludes
- Malignant neoplasm of cecum (C18.0)
Clinical Validation Requirements
- Endoscopic ultrasound confirms benign mass
- Histology shows no atypia
Coding Notes
Document benign nature and lack of atypia.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Secondary malignant neoplasm of large intestine
C78.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cecum Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C18.0.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure biopsy results are documented before coding., Regular audits of documentation practices.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical research and statistics.
Mitigation Strategy
Always use C18.0 when the cecum is the documented site.
Impact
High risk of audit if unspecified codes are used when specific codes are applicable.
Mitigation Strategy
Educate coders on specific code usage and conduct regular audits.
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 Cecum Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cecum Mass
Use these documentation templates to ensure complete and accurate documentation for Cecum Mass. These templates include all required elements for proper coding and billing.
Confirmed Adenocarcinoma
Specialty: GastroenterologyRequired Elements
- Biopsy results
- CT findings
- CEA levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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