ICD-10 Coding for Adrenal Gland Mass(E27.8, C74.0, D35.0)
Complete ICD-10-CM coding and documentation guide for Adrenal Gland Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenal Gland Mass
Other disorders of adrenal gland
Includes codes for various adrenal disorders, including non-functional adrenal masses.
C74-C74.9Primary Range
Malignant neoplasm of adrenal gland
Primary range for coding malignant adrenal neoplasms, including adrenal cortex and medulla.
Benign neoplasm of other and unspecified endocrine glands
Includes benign adrenal neoplasms, such as 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 |
|---|---|---|---|
| E27.8 | Other specified disorders of adrenal gland | For benign adrenal masses with no hormonal activity. |
|
| C74.0 | Malignant neoplasm of adrenal cortex | For confirmed malignant neoplasms of the adrenal cortex. |
|
| D35.0 | Benign neoplasm of adrenal gland | For benign adrenal neoplasms confirmed by imaging. |
|
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 gland mass
Essential facts and insights about Adrenal Gland Mass
Primary ICD-10-CM Codes for adrenal gland mass
Decision Criteria
clinical Criteria
- Non-contrast CT attenuation ≤10 HU
documentation Criteria
- Negative hormonal workup
Applicable To
- Non-functional adrenal adenoma
- Adrenal hyperplasia
Excludes
- Malignant neoplasm of adrenal gland (C74.-)
Clinical Validation Requirements
- Imaging showing non-contrast CT attenuation ≤10 HU
- Negative hormonal workup
Code-Specific Risks
- Misclassification as malignant without histological confirmation.
Coding Notes
- Ensure imaging and hormonal workup are documented.
C74.0 - Malignant neoplasm of adrenal cortex
For confirmed malignant neoplasms of the adrenal cortex.
Applicable To
- Adrenocortical carcinoma
Excludes
- Benign neoplasm of adrenal gland (D35.0)
Clinical Validation Requirements
- Pathology confirming adrenocortical carcinoma
- Imaging showing invasion/metastasis
Coding Notes
Ensure pathology report specifies cortex origin.
D35.0 - Benign neoplasm of adrenal gland
For benign adrenal neoplasms confirmed by imaging.
Applicable To
- Adrenal adenoma
Excludes
- Malignant neoplasm of adrenal gland (C74.-)
Clinical Validation Requirements
- Imaging showing well-circumscribed mass without invasion
- Explicit 'benign' terminology in documentation
Coding Notes
Ensure imaging confirms benign nature.
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 Adrenal Gland Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.8.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use specific terminology in reports., Include detailed imaging and test results.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure histological confirmation before coding malignancy.
Impact
Lack of specific imaging and hormonal test details.
Mitigation Strategy
Implement standardized templates for adrenal mass 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 Adrenal Gland Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenal Gland Mass
Use these documentation templates to ensure complete and accurate documentation for Adrenal Gland Mass. These templates include all required elements for proper coding and billing.
Adrenal Mass Evaluation
Specialty: EndocrinologyRequired Elements
- Size and characteristics of the mass
- Imaging findings
- Hormonal workup results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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