ICD-10 Coding for Left Adrenal Mass(D35.02, E27.8)
Complete ICD-10-CM coding and documentation guide for Left Adrenal Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Adrenal Mass
D35-D36Primary Range
Benign neoplasms
Includes benign neoplasms of the adrenal gland, such as adenomas.
Malignant neoplasms of endocrine glands
Covers malignant neoplasms of the adrenal cortex, such as adrenocortical carcinoma.
Other disorders of adrenal gland
Includes non-neoplastic disorders like adrenal hyperplasia or cysts.
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 confirms benign characteristics and no hormonal hypersecretion is present. |
|
| E27.8 | Other specified adrenal disorders | Use for adrenal disorders that are not neoplastic, such as cysts or hyperplasia. |
|
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 mass
Essential facts and insights about Left Adrenal Mass
Primary ICD-10-CM Codes for left adrenal mass
Decision Criteria
clinical Criteria
- Imaging shows HU ≤10 and homogeneous texture.
documentation Criteria
- Documentation specifies left adrenal mass with benign features.
Applicable To
- Adrenal adenoma
- Myelolipoma
Excludes
- Malignant neoplasm of adrenal gland (C74.12)
Clinical Validation Requirements
- Non-contrast CT HU ≤10
- Homogeneous texture on imaging
Code-Specific Risks
- Incorrectly coding as unspecified laterality when left side is documented.
Coding Notes
- Ensure documentation includes imaging characteristics and hormonal activity status.
E27.8 - Other specified adrenal disorders
Use for adrenal disorders that are not neoplastic, such as cysts or hyperplasia.
Applicable To
- Adrenal cyst
- Adrenal hyperplasia
Excludes
- Adrenal neoplasm (D35.02, C74.12)
Clinical Validation Requirements
- Clinical diagnosis of non-neoplastic adrenal disorder
Coding Notes
Ensure differentiation between neoplastic and non-neoplastic conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Left Adrenal Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D35.02.
Impact
Clinical: Potential misdiagnosis or treatment errors., Regulatory: Non-compliance with documentation standards., Financial: Incorrect billing and potential claim denials.
Mitigation Strategy
Always document and verify laterality., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Always verify and code the specific laterality, such as D35.02 for left.
Impact
Reimbursement: Potential for claim denial or incorrect payment., Compliance: Violation of coding standards., Data Quality: Inaccurate representation of patient conditions.
Mitigation Strategy
Differentiate between neoplastic and non-neoplastic conditions using clinical criteria.
Impact
Failure to document laterality can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields for laterality in electronic health records.
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 Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Adrenal Mass
Use these documentation templates to ensure complete and accurate documentation for Left Adrenal Mass. These templates include all required elements for proper coding and billing.
Radiology report for left adrenal mass
Specialty: RadiologyRequired Elements
- Location
- Size
- Imaging Features
- Impression
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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