ICD-10 Coding for Mass in Parotid Gland(C07, D110)
Complete ICD-10-CM coding and documentation guide for Mass in Parotid Gland. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mass in Parotid Gland
C07-C08Primary Range
Malignant neoplasms of salivary glands
Includes malignant tumors of the parotid gland, which is the most common site for salivary gland neoplasms.
Neoplasms of uncertain or unknown behavior
Used when the behavior of the parotid gland tumor is uncertain or pending further investigation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| C07 | Malignant neoplasm of parotid gland | Use when a biopsy confirms a malignant tumor in the parotid gland. |
|
| D110 | Benign neoplasm of parotid gland | Use when a biopsy confirms a benign tumor in the parotid 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 parotid gland mass
Essential facts and insights about Mass in Parotid Gland
Primary ICD-10-CM Codes for mass in parotid gland
Decision Criteria
clinical Criteria
- Biopsy confirms malignancy in the parotid gland.
documentation Criteria
- Pathology report specifies malignant histology.
Applicable To
- Mucoepidermoid carcinoma
- Adenoid cystic carcinoma
Excludes
- Secondary malignant neoplasm of parotid gland (C79.89)
Clinical Validation Requirements
- Histological confirmation of malignancy
- Imaging findings consistent with malignancy
Code-Specific Risks
- Incorrectly coding benign tumors as malignant
- Omitting histological subtype
Coding Notes
- Ensure documentation includes histological subtype and laterality.
D110 - Benign neoplasm of parotid gland
Use when a biopsy confirms a benign tumor in the parotid gland.
Applicable To
- Pleomorphic adenoma
- Warthin tumor
Excludes
- Malignant neoplasm of parotid gland (C07)
Clinical Validation Requirements
- Histological confirmation of benign nature
- Imaging findings consistent with benignity
Coding Notes
Ensure documentation includes histological subtype and laterality.
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 Mass in Parotid Gland to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C07.
Impact
Clinical: Impacts surgical planning and follow-up care., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to incomplete documentation.
Mitigation Strategy
Always document the side of the body affected., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Risk of audit and penalties for incorrect coding., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Wait for pathology results before assigning a malignant code.
Impact
Coding malignancy without biopsy confirmation.
Mitigation Strategy
Require pathology reports before final 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 Mass in Parotid Gland, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mass in Parotid Gland
Use these documentation templates to ensure complete and accurate documentation for Mass in Parotid Gland. These templates include all required elements for proper coding and billing.
Biopsy-confirmed parotid gland mass
Specialty: OtolaryngologyRequired Elements
- Patient demographics
- Clinical presentation
- Imaging findings
- Biopsy results
- Histological subtype
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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