ICD-10 Coding for Left Adrenal Adenoma(D35.02, E27.8)
Complete ICD-10-CM coding and documentation guide for Left Adrenal Adenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Adrenal Adenoma
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D35.02 | Benign neoplasm of left adrenal gland | Use when imaging and/or histology confirm a benign adenoma without hormonal excess. |
|
| E27.8 | Other specified disorders of adrenal gland | Use when the adenoma is functioning and causing hormonal excess. |
|
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 left adrenal adenoma
Essential facts and insights about Left Adrenal Adenoma
Primary ICD-10-CM Codes for left adrenal adenoma
Decision Criteria
clinical Criteria
- Imaging shows benign features with HU ≤10
documentation Criteria
- Histological confirmation of benign adenoma
Applicable To
- Non-functioning adrenal adenoma
Excludes
- Malignant neoplasm of adrenal gland
Clinical Validation Requirements
- Imaging showing benign features (HU ≤10 on non-contrast CT)
- Histological confirmation of benign adenoma
Code-Specific Risks
- Incorrectly coding as malignant neoplasm
- Omitting laterality in documentation
Coding Notes
- Ensure documentation specifies laterality and benign nature of the adenoma.
E27.8 - Other specified disorders of adrenal gland
Use when the adenoma is functioning and causing hormonal excess.
Applicable To
- Functioning adrenal adenoma causing hormonal excess
Excludes
- Non-functioning adrenal adenoma
Clinical Validation Requirements
- Hormonal tests indicating excess (e.g., elevated aldosterone)
- Clinical symptoms of hormone excess
Coding Notes
Sequence E27.8 first if hormonal excess is present.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified disorders of adrenal gland
E27.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Adrenal Adenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D35.02.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Always specify left or right in documentation, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: May result in audit findings if documentation does not support benign nature., Data Quality: Affects accuracy of health records and data reporting.
Mitigation Strategy
Ensure imaging or histology confirms benign features before coding.
Impact
Reimbursement: May affect DRG and reimbursement if hormonal excess is not coded., Compliance: Non-compliance with coding guidelines for endocrine disorders., Data Quality: Inaccurate representation of patient's clinical condition.
Mitigation Strategy
Always code E27.8 first if hormonal excess is documented.
Impact
Failure to sequence E27.8 before D35.02 when hormonal excess is present.
Mitigation Strategy
Educate coders on proper sequencing rules and ensure documentation supports code choice.
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 Left Adrenal Adenoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Adrenal Adenoma
Use these documentation templates to ensure complete and accurate documentation for Left Adrenal Adenoma. These templates include all required elements for proper coding and billing.
Radiology Report for Adrenal Adenoma
Specialty: RadiologyRequired Elements
- Size of the adenoma
- HU on non-contrast CT
- Washout percentage
- Recommendation for hormonal evaluation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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