ICD-10 Coding for Left Adrenal Nodule(D35.02, C74.0)
Complete ICD-10-CM coding and documentation guide for Left Adrenal Nodule. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Adrenal Nodule
D35-D36Primary Range
Benign neoplasms
Includes benign neoplasms of the adrenal gland, specifically D35.02 for the left adrenal gland.
Malignant neoplasms of endocrine glands
Includes malignant neoplasms of the adrenal cortex, specifically C74.0 for the left adrenal gland.
Other disorders of adrenal gland
Includes functional disorders of the adrenal gland, such as hyperplasia or hyperfunction.
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 a benign nodule is confirmed in the left adrenal gland. |
|
| C74.0 | Malignant neoplasm of cortex of adrenal gland | Use when malignancy is confirmed in the left adrenal gland. |
|
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 nodule
Essential facts and insights about Left Adrenal Nodule
Primary ICD-10-CM Codes for left adrenal nodule
Decision Criteria
clinical Criteria
- Biopsy confirms benign nature
documentation Criteria
- CT shows attenuation <10 HU
Applicable To
- Benign adrenal adenoma
- Non-functioning adrenal nodule
Excludes
- Malignant neoplasm of adrenal gland (C74.0)
Clinical Validation Requirements
- Biopsy-confirmed benign histology
- CT attenuation <10 HU
Code-Specific Risks
- Misclassification if malignancy is not ruled out
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented as 'left' to use D35.02.
C74.0 - Malignant neoplasm of cortex of adrenal gland
Use when malignancy is confirmed in the left adrenal gland.
Applicable To
- Adrenal cortical carcinoma
Excludes
- Benign neoplasm of adrenal gland (D35.02)
Clinical Validation Requirements
- Biopsy showing malignancy
- CT showing necrosis or invasion
Coding Notes
Ensure malignancy is documented and confirmed.
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 Left Adrenal Nodule to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D35.02.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation Strategy
Always document 'left' for left adrenal nodules.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields in EHR for laterality.
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 Nodule, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Adrenal Nodule
Use these documentation templates to ensure complete and accurate documentation for Left Adrenal Nodule. These templates include all required elements for proper coding and billing.
Adrenal Nodule Evaluation
Specialty: EndocrinologyRequired Elements
- Nodule size and location
- Imaging characteristics
- Biopsy results
- Hormonal activity
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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