ICD-10 Coding for Intracranial Mass(D33.0, C79.31)
Complete ICD-10-CM coding and documentation guide for Intracranial Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intracranial Mass
D33-D43Primary Range
Benign and uncertain behavior neoplasms of the brain and central nervous system
This range includes codes for benign and uncertain behavior neoplasms, which are common in intracranial mass diagnoses.
Malignant neoplasms of the brain and other parts of the central nervous system
This range includes codes for malignant neoplasms, which are critical for coding primary and metastatic brain tumors.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D33.0 | Benign neoplasm of brain, supratentorial | Use when a benign supratentorial mass is confirmed by biopsy. |
|
| C79.31 | Secondary malignant neoplasm of brain | Use when a brain tumor is confirmed as metastatic from another primary site. |
|
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 benign intracranial mass
Essential facts and insights about Intracranial Mass
Primary ICD-10-CM Codes for intracranial mass
Decision Criteria
clinical Criteria
- Biopsy confirms benign nature
documentation Criteria
- MRI shows supratentorial location
Applicable To
- Meningioma
- Benign supratentorial tumor
Excludes
- Malignant neoplasm of brain (C71.-)
Clinical Validation Requirements
- Biopsy confirming benign nature
- MRI showing supratentorial location
Code-Specific Risks
- Misclassification as malignant without biopsy confirmation
Coding Notes
- Ensure documentation specifies supratentorial location and benign nature.
C79.31 - Secondary malignant neoplasm of brain
Use when a brain tumor is confirmed as metastatic from another primary site.
Applicable To
- Metastatic brain tumor
Excludes
- Primary malignant neoplasm of brain (C71.-)
Clinical Validation Requirements
- Pathology confirming secondary origin
- Imaging showing metastatic lesions
Coding Notes
Always sequence primary malignancy before C79.31.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intracranial Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D33.0.
Impact
Clinical: Inaccurate tumor classification, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure molecular testing results are included in the report, Link molecular data to diagnosis
Impact
Reimbursement: Incorrect use can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R90.0 only for undetermined masses pre-biopsy.
Impact
High audit risk for using unspecified codes without detailed documentation.
Mitigation Strategy
Ensure all documentation includes specific anatomical and pathological details.
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 Intracranial Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intracranial Mass
Use these documentation templates to ensure complete and accurate documentation for Intracranial Mass. These templates include all required elements for proper coding and billing.
Neurosurgery H&P
Specialty: NeurosurgeryRequired Elements
- Location
- Size
- Enhancement
- Edema
- Molecular Data
- Linkage
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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