ICD-10 Coding for History of Meningioma(Z86.011, Z85.841)
Complete ICD-10-CM coding and documentation guide for History of Meningioma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Meningioma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.011 | Personal history of benign neoplasm of the brain | Use when documenting a resolved benign meningioma with no active treatment. |
|
| Z85.841 | Personal history of malignant neoplasm of brain | Use when documenting a resolved malignant meningioma with no active treatment. |
|
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 history of benign meningioma
Essential facts and insights about History of Meningioma
Primary ICD-10-CM Codes for history of meningioma
Decision Criteria
documentation Criteria
- Documentation must specify 'benign' meningioma.
Applicable To
- History of benign meningioma
Excludes
- Current benign meningioma (D32.9)
Clinical Validation Requirements
- Pathology report confirming benign nature
- MRI showing post-resection changes
Code-Specific Risks
- Incorrectly using as a principal diagnosis
Coding Notes
- Ensure documentation specifies 'benign' to use this code.
Z85.841 - Personal history of malignant neoplasm of brain
Use when documenting a resolved malignant meningioma with no active treatment.
Applicable To
- History of malignant meningioma
Excludes
- Current malignant meningioma
Clinical Validation Requirements
- Pathology report confirming malignant features
- Oncology records indicating prior treatment
Coding Notes
Ensure documentation specifies 'malignant' to use this code.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Meningioma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.011.
Impact
Clinical: Inaccurate patient history documentation., Regulatory: Potential for audit issues., Financial: Incorrect coding may affect reimbursement.
Mitigation Strategy
Always confirm and document the type of meningioma.
Impact
Reimbursement: May lead to incorrect DRG assignment and reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient history records.
Mitigation Strategy
Ensure Z86.011 is used as a secondary code.
Impact
Using history codes as principal diagnoses can trigger audits.
Mitigation Strategy
Ensure history codes are used as secondary diagnoses.
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 History of Meningioma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Meningioma
Use these documentation templates to ensure complete and accurate documentation for History of Meningioma. These templates include all required elements for proper coding and billing.
Follow-up visit for history of meningioma
Specialty: NeurologyRequired Elements
- Patient history
- MRI results
- Surgical history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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