ICD-10 Coding for Adrenal Cortical Adenoma(D35.01, D35.02)
Complete ICD-10-CM coding and documentation guide for Adrenal Cortical Adenoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Cortical Adenoma
D35.0-D35.02Primary Range
Benign neoplasm of adrenal gland
This range includes codes for benign adrenal tumors, specifically adenomas, which are non-cancerous growths in the adrenal cortex.
Neoplasm of uncertain behavior of adrenal gland
Used when the behavior of the adrenal mass cannot be definitively classified as benign or malignant.
Malignant neoplasm of adrenal cortex
Used for confirmed malignant tumors of the adrenal cortex, not applicable to benign adenomas.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D35.01 | Benign neoplasm of right adrenal gland | Use when a benign adenoma is confirmed in the right adrenal gland. |
|
| D35.02 | Benign neoplasm of left adrenal gland | Use when a benign adenoma 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 adrenal cortical adenoma
Essential facts and insights about Adrenal Cortical Adenoma
Primary ICD-10-CM Codes for adrenal cortical adenoma
Decision Criteria
clinical Criteria
- Histological confirmation of benign adenoma
coding Criteria
- Use D35.01 for right adrenal gland adenomas
documentation Criteria
- Include tumor size and weight in documentation
Applicable To
- Benign adrenal cortical adenoma of the right adrenal gland
Excludes
- Malignant neoplasm of adrenal cortex (C74.0)
Clinical Validation Requirements
- Histological confirmation of benign adenoma
- Tumor size <5 cm and weight <50g
- Non-contrast CT attenuation ≤10 HU
Code-Specific Risks
- Misclassification as malignant if documentation is unclear
Coding Notes
- Ensure documentation specifies 'benign' and includes size and weight.
D35.02 - Benign neoplasm of left adrenal gland
Use when a benign adenoma is confirmed in the left adrenal gland.
Applicable To
- Benign adrenal cortical adenoma of the left adrenal gland
Excludes
- Malignant neoplasm of adrenal cortex (C74.0)
Clinical Validation Requirements
- Histological confirmation of benign adenoma
- Tumor size <5 cm and weight <50g
- Non-contrast CT attenuation ≤10 HU
Coding Notes
Ensure documentation specifies 'benign' and includes size and weight.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cushing's syndrome
E24.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Neoplasm of uncertain behavior of adrenal gland
D44.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adrenal Cortical Adenoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D35.01.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Ensure detailed documentation of imaging and pathology findings., Use specific terminology like 'benign adenoma' with size and weight.
Impact
Reimbursement: Incorrect coding may lead to inappropriate DRG assignment., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of clinical data and outcomes.
Mitigation Strategy
Verify histological confirmation and ensure documentation specifies 'benign'.
Impact
Risk of coding benign adenomas as malignant due to unclear documentation.
Mitigation Strategy
Ensure clear documentation of benign status with supporting pathology and imaging.
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 Adrenal Cortical Adenoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Cortical Adenoma
Use these documentation templates to ensure complete and accurate documentation for Adrenal Cortical Adenoma. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Assessment of adrenal mass
- Imaging findings
- Hormonal status
- Pathology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Adrenal Cortical Adenoma? Ask your questions below.