ICD-10 Coding for Parotid Gland Mass(C07, D11.0)
Complete ICD-10-CM coding and documentation guide for Parotid Gland Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Parotid Gland Mass
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 pathology report confirms a malignant tumor in the parotid gland. |
|
| D11.0 | Benign neoplasm of parotid gland | Use when a pathology report 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 Parotid Gland Mass
Primary ICD-10-CM Codes for mass parotid gland
Decision Criteria
clinical Criteria
- Pathology report confirms malignancy
documentation Criteria
- Imaging shows irregular margins
Applicable To
- Mucoepidermoid carcinoma
- Adenoid cystic carcinoma
Excludes
- Benign neoplasm of parotid gland (D11.0)
Clinical Validation Requirements
- Pathology report confirming malignancy
- Imaging showing irregular margins
Code-Specific Risks
- Misclassification if malignancy is not confirmed
Coding Notes
- Ensure malignancy is confirmed before using C07.
D11.0 - Benign neoplasm of parotid gland
Use when a pathology report confirms a benign tumor in the parotid gland.
Applicable To
- Pleomorphic adenoma
- Warthin tumor
Excludes
- Malignant neoplasm of parotid gland (C07)
Clinical Validation Requirements
- Pathology report confirming benign nature
- Imaging showing well-circumscribed mass
Coding Notes
Ensure benign nature is confirmed before using D11.0.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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G51.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Parotid Gland Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C07.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims due to incomplete documentation.
Mitigation Strategy
Always specify left or right in documentation., Use templates that include laterality prompts.
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Wait for pathology confirmation before coding as malignant.
Impact
Coding malignancy without pathology confirmation.
Mitigation Strategy
Ensure pathology reports are reviewed 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 Parotid Gland Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Parotid Gland Mass
Use these documentation templates to ensure complete and accurate documentation for Parotid Gland Mass. These templates include all required elements for proper coding and billing.
Partial Parotidectomy
Specialty: OtolaryngologyRequired Elements
- Pre-op diagnosis
- Procedure details
- Findings
- Post-op diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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