ICD-10 Coding for Subcutaneous Mass of the Abdomen(D48.113, R19.03)
Complete ICD-10-CM coding and documentation guide for Subcutaneous Mass of the Abdomen. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subcutaneous Mass of the Abdomen
D48.1-D48.9Primary Range
Neoplasms of uncertain behavior
Covers desmoid tumors and other neoplasms of uncertain behavior in the abdomen.
Other symptoms and signs involving the digestive system and abdomen
Used for unspecified abdominal masses when specific diagnosis is not confirmed.
Malignant neoplasm of connective and soft tissue
Used when a malignant soft tissue neoplasm is confirmed in the abdomen.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D48.113 | Neoplasm of uncertain behavior of connective and other soft tissue of abdominal wall | Use when a desmoid tumor is confirmed by histology in the abdominal wall. |
|
| R19.03 | Right lower quadrant abdominal mass | Use for initial encounters when the mass is not yet diagnosed. |
|
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 subcutaneous mass abdomen
Essential facts and insights about Subcutaneous Mass of the Abdomen
Primary ICD-10-CM Codes for subcutaneous mass abdomen
Decision Criteria
clinical Criteria
- Histological confirmation of desmoid tumor
documentation Criteria
- Detailed operative note describing mass characteristics
Applicable To
- Desmoid tumor of abdominal wall
Excludes
- Malignant neoplasm of connective tissue (C49.4)
Clinical Validation Requirements
- Pathology report confirming desmoid tumor
- MRI showing infiltrative margins
Code-Specific Risks
- Misclassification if histology is not confirmed.
Coding Notes
- Ensure histological confirmation before using this code.
R19.03 - Right lower quadrant abdominal mass
Use for initial encounters when the mass is not yet diagnosed.
Applicable To
- Unspecified abdominal mass
Excludes
- Neoplasm of uncertain behavior (D48.1)
Clinical Validation Requirements
- Physical examination noting palpable mass
- Initial imaging without definitive diagnosis
Coding Notes
Transition to a more specific code once diagnosis is confirmed.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Endometriosis of abdominal wall
N80.5Differential 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 Subcutaneous Mass of the Abdomen to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D48.113.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use detailed templates for operative notes, Ensure histological confirmation is documented
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Affects accuracy of medical records.
Mitigation Strategy
Switch to D48.113 once histology confirms a neoplasm.
Impact
Using unspecified codes when specific diagnosis is available.
Mitigation Strategy
Ensure histological confirmation and update codes accordingly.
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 Subcutaneous Mass of the Abdomen, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subcutaneous Mass of the Abdomen
Use these documentation templates to ensure complete and accurate documentation for Subcutaneous Mass of the Abdomen. These templates include all required elements for proper coding and billing.
Desmoid tumor excision
Specialty: SurgeryRequired Elements
- Preoperative diagnosis
- Postoperative findings
- Procedure details
- Specimen sent
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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