ICD-10 Coding for Mesenteric Mass(C7A.092, D20.3, R19.0)
Complete ICD-10-CM coding and documentation guide for Mesenteric Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mesenteric Mass
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C7A.092 | Malignant neuroendocrine tumor of the mesentery | Use when pathology confirms a mesenteric neuroendocrine tumor. |
|
| D20.3 | Benign neoplasm of mesothelial tissue | Use when biopsy confirms a benign mesenteric tumor. |
|
| R19.0 | Intra-abdominal and pelvic swelling, mass and lump | Use for unspecified masses when further investigation is needed. |
|
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 mesenteric mass
Essential facts and insights about Mesenteric Mass
Primary ICD-10-CM Codes for mesenteric mass
Decision Criteria
clinical Criteria
- Confirmed neuroendocrine tumor with specific histological features
Applicable To
- Mesenteric neuroendocrine tumor
Excludes
- Benign mesenteric tumors
Clinical Validation Requirements
- Pathology-confirmed neuroendocrine tumor
- Ki67 index/mitotic rate
Code-Specific Risks
- Misclassification if not confirmed by pathology
Coding Notes
- Ensure pathology confirmation before using this code.
D20.3 - Benign neoplasm of mesothelial tissue
Use when biopsy confirms a benign mesenteric tumor.
Applicable To
- Mesenteric lipoma
Excludes
- Malignant mesenteric tumors
Clinical Validation Requirements
- Biopsy confirmation of benign histology
Coding Notes
Biopsy results are crucial for accurate coding.
R19.0 - Intra-abdominal and pelvic swelling, mass and lump
Use for unspecified masses when further investigation is needed.
Applicable To
- Unspecified abdominal mass
Excludes
- Specific neoplasms
Clinical Validation Requirements
- Imaging showing mass without specific diagnosis
Coding Notes
Use as a placeholder until a specific diagnosis is made.
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 Mesenteric Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C7A.092.
Impact
Clinical: May lead to misdiagnosis, Regulatory: Fails to meet documentation standards, Financial: Potential loss of reimbursement
Mitigation Strategy
Ensure detailed imaging and pathology reports., Use specific terminology.
Impact
Reimbursement: Potential underpayment due to non-specific coding, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in medical records
Mitigation Strategy
Use specific neoplasm codes like C7A.092 or D20.3 when diagnosis is confirmed.
Impact
Risk of incorrect coding due to non-specific documentation.
Mitigation Strategy
Ensure pathology confirmation and detailed documentation.
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 Mesenteric Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mesenteric Mass
Use these documentation templates to ensure complete and accurate documentation for Mesenteric Mass. These templates include all required elements for proper coding and billing.
Radiology Report for Mesenteric Mass
Specialty: RadiologyRequired Elements
- Location of mass
- Size and dimensions
- Characteristics (solid, cystic)
- Relation to surrounding structures
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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