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ICD-10 Coding for Pleural Lipoma(D17.39)

Complete ICD-10-CM coding and documentation guide for Pleural Lipoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Benign Pleural TumorPleural Fatty Tumor

Related ICD-10 Code Ranges

Complete code families applicable to Pleural Lipoma

D17-D17.9Primary Range

Benign lipomatous neoplasms

This range includes codes for benign lipomatous neoplasms, with D17.39 specifically for other sites such as the pleura.

Key Information: ICD-10 code for pleural lipoma

Essential facts and insights about Pleural Lipoma

The ICD-10 code for pleural lipoma is D17.39, used for benign lipomatous neoplasms of other specified sites.

Primary ICD-10-CM Code for pleural lipoma

Benign lipomatous neoplasm of skin and subcutaneous tissue of other sites
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed pleural location with imaging showing fat density

documentation Criteria

  • Biopsy results confirming benign adipocytes

Applicable To

  • Pleural lipoma

Excludes

  • Malignant neoplasms of pleura

Clinical Validation Requirements

  • Imaging showing fat density on CT
  • MRI without restricted diffusion
  • Biopsy confirming mature adipocytes

Code-Specific Risks

  • Risk of using unspecified codes like D17.9
  • Confusion with malignant pleural conditions

Coding Notes

  • Ensure documentation specifies pleural origin and imaging characteristics to avoid unspecified codes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Chest pain, unspecified

R07.9
Use if the patient presents with chest pain related to the pleural lipoma.

Malignant pleural effusion

J91.0
Exclude unless malignancy is confirmed; cannot be principal diagnosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Benign lipomatous neoplasm, unspecified

D17.9
Use only if the specific site cannot be determined; otherwise, use D17.39.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Pleural Lipoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D17.39.

Impact

Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims

Mitigation Strategy

Ensure detailed imaging reports, Specify anatomical location

Impact

Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use D17.39 as pleura is not part of the trunk.

Impact

Using D17.9 instead of D17.39 for pleural lipoma.

Mitigation Strategy

Ensure documentation specifies pleural origin.

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 Pleural Lipoma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Pleural Lipoma

Use these documentation templates to ensure complete and accurate documentation for Pleural Lipoma. These templates include all required elements for proper coding and billing.

Asymptomatic pleural lipoma found incidentally

Specialty: Radiology

Required Elements

  • CT findings
  • MRI characteristics
  • Biopsy results if applicable

Example Documentation

Well-circumscribed fatty lesion in right parietal pleura on CT, consistent with benign lipoma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Chest mass noted.
Good Documentation Example
Pleural-based fatty mass measuring 4 cm with Hounsfield units consistent with adipose tissue on non-contrast CT.
Explanation
The good example specifies the location and imaging characteristics, supporting the diagnosis.

Need help with ICD-10 coding for Pleural Lipoma? Ask your questions below.

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