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ICD-10 Coding for Dermatofibroma(D23.9)

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

Also known as:

Benign fibrous histiocytomaFibrous dermatofibroma

Related ICD-10 Code Ranges

Complete code families applicable to Dermatofibroma

D23Primary Range

Benign neoplasm of skin

This range includes benign skin neoplasms, with D23.9 specifically used for dermatofibroma.

Key Information: ICD-10 code for dermatofibroma

Essential facts and insights about Dermatofibroma

The ICD-10 code for dermatofibroma is D23.9, used for benign neoplasm of skin, unspecified.

Primary ICD-10-CM Code for dermatofibroma

Benign neoplasm of skin, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Histopathology confirms dermatofibroma

coding Criteria

  • Avoid using D22._ unless melanocytic origin is confirmed

Applicable To

  • Dermatofibroma

Excludes

  • Malignant neoplasm of skin (C44._)
  • Neoplasm of uncertain behavior of skin (D48.5)

Clinical Validation Requirements

  • Histologic confirmation of fibrous histiocytoma
  • Factor XIIIa positivity
  • CD34 negativity

Code-Specific Risks

  • Confusion with melanocytic lesions leading to incorrect coding as D22._

Coding Notes

  • Ensure histopathological confirmation before coding as D23.9.

Ancillary Codes

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

Encounter for other specified special examinations

Z01.89
Use when a routine pathology exam is performed.

Differential Codes

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

Melanocytic nevi

D22._
Use D22._ only if the lesion is confirmed as melanocytic by pathology.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dermatofibroma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D23.9.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Use detailed templates for documentation., Verify lesion details with pathology reports.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.

Mitigation Strategy

Ensure histopathological confirmation before coding.

Impact

Using D22._ instead of D23.9 without histological confirmation.

Mitigation Strategy

Ensure all dermatofibromas are confirmed by pathology before coding.

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

Documentation Templates for Dermatofibroma

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

Excision of dermatofibroma

Specialty: Dermatology

Required Elements

  • Location of lesion
  • Size and characteristics
  • Procedure details
  • Pathology results

Examples: Poor vs. Good Documentation

Poor Documentation Example
Excised skin lesion
Good Documentation Example
Excision of 6mm firm dermal nodule with central hyperpigmentation from left pretibial area, 2mm margins. Frozen section shows bland spindle cells with collagen trapping. Final diagnosis: Cellular dermatofibroma.
Explanation
The good example provides detailed information on the lesion and procedure, supporting accurate coding and billing.

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

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