ICD-10 Coding for Chest Wall Mass(D48.111, C49.3)
Complete ICD-10-CM coding and documentation guide for Chest Wall Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chest Wall Mass
D48.1-D48.9Primary Range
Neoplasms of uncertain behavior of other and unspecified sites
Includes desmoid tumors of the chest wall, which are common presentations of chest wall masses.
Malignant neoplasm of connective and soft tissue
Used for malignant chest wall tumors such as sarcomas.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D48.111 | Neoplasm of uncertain behavior of connective and other soft tissue, chest wall | Use when a biopsy confirms a desmoid tumor of the chest wall. |
|
| C49.3 | Malignant neoplasm of connective and soft tissue of chest wall | Use when histology confirms a malignant tumor of the chest wall. |
|
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 chest wall mass
Essential facts and insights about Chest Wall Mass
Primary ICD-10-CM Codes for chest wall mass
Decision Criteria
clinical Criteria
- Biopsy confirms desmoid tumor
documentation Criteria
- MRI shows typical desmoid tumor features
Applicable To
- Desmoid tumor of chest wall
Excludes
- Malignant neoplasm of chest wall (C49.3)
Clinical Validation Requirements
- Biopsy confirmation of desmoid tumor
- MRI showing characteristic imaging features
Code-Specific Risks
- Misclassification as malignant without biopsy confirmation
Coding Notes
- Ensure biopsy confirmation before coding as D48.111.
C49.3 - Malignant neoplasm of connective and soft tissue of chest wall
Use when histology confirms a malignant tumor of the chest wall.
Applicable To
- Sarcoma of chest wall
Excludes
- Benign neoplasm of chest wall (D17.79)
Clinical Validation Requirements
- Histological confirmation of malignancy
- Imaging showing invasive characteristics
Coding Notes
Ensure histological confirmation of malignancy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Precordial pain
R07.2Differential 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 Chest Wall Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D48.111.
Impact
Clinical: Potential misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Always confirm neoplasm diagnosis with biopsy before coding., Ensure documentation of biopsy results in the medical record.
Impact
Reimbursement: Incorrect sequencing may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Sequence the neoplasm code first, followed by R07.2 for symptoms.
Impact
Reimbursement: Potential underpayment due to incorrect coding., Compliance: Non-compliance with current procedural coding standards., Data Quality: Inaccurate procedural data representation.
Mitigation Strategy
Use the current CPT code 32662 for VATS approach.
Impact
Use of unspecified codes without anatomical specificity.
Mitigation Strategy
Ensure detailed documentation of tumor location and type.
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 Chest Wall Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chest Wall Mass
Use these documentation templates to ensure complete and accurate documentation for Chest Wall Mass. These templates include all required elements for proper coding and billing.
Desmoid tumor excision
Specialty: Surgical OncologyRequired Elements
- Location and size of tumor
- Imaging findings
- Biopsy results
- Surgical plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Chest Wall Mass? Ask your questions below.