ICD-10 Coding for Desmoid Tumor(D48.110, D48.111)
Complete ICD-10-CM coding and documentation guide for Desmoid Tumor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Desmoid Tumor
D48.11xPrimary Range
Benign neoplasm of connective and other soft tissue
This range includes site-specific codes for desmoid tumors, allowing for precise documentation and coding.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D48.110 | Desmoid tumor of head, face, and neck | Use when the desmoid tumor is located in the head, face, or neck. |
|
| D48.111 | Desmoid tumor of thorax | Use when the desmoid tumor is located in the thorax. |
|
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 desmoid tumor
Essential facts and insights about Desmoid Tumor
Primary ICD-10-CM Codes for desmoid tumor
Decision Criteria
clinical Criteria
- Presence of a desmoid tumor in the head, face, or neck confirmed by imaging and biopsy.
Applicable To
- Desmoid tumor of head
- Desmoid tumor of face
- Desmoid tumor of neck
Excludes
- Malignant neoplasm of head, face, and neck
Clinical Validation Requirements
- Imaging confirmation of tumor location
- Biopsy showing beta-catenin positivity
Code-Specific Risks
- Misclassification if location is not specified
Coding Notes
- Ensure the anatomical site is clearly documented to avoid unspecified coding.
D48.111 - Desmoid tumor of thorax
Use when the desmoid tumor is located in the thorax.
Applicable To
- Desmoid tumor of chest wall
Excludes
- Malignant neoplasm of thorax
Clinical Validation Requirements
- Imaging confirmation of tumor location
- Biopsy showing beta-catenin positivity
Coding Notes
Ensure the anatomical site is clearly documented to avoid unspecified coding.
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 Desmoid Tumor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D48.110.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with guidelines for genetic conditions., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Ensure genetic testing is ordered and results are documented., Include genetic findings in the patient's medical record.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of healthcare data.
Mitigation Strategy
Always verify imaging and biopsy reports for specific site documentation.
Impact
High risk of audit if unspecified codes are used when site-specific information is available.
Mitigation Strategy
Ensure thorough review of medical records for site-specific details.
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 Desmoid Tumor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Desmoid Tumor
Use these documentation templates to ensure complete and accurate documentation for Desmoid Tumor. These templates include all required elements for proper coding and billing.
Post-operative documentation for desmoid tumor resection
Specialty: SurgeryRequired Elements
- Pre-operative diagnosis
- Post-operative findings
- Molecular testing results
- FAP screening results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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