ICD-10 Coding for Parotid Mass(C07, D110)
Complete ICD-10-CM coding and documentation guide for Parotid Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Parotid 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 pathology confirms malignancy in the parotid gland. |
|
| D110 | Benign neoplasm of parotid gland | Use when pathology 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 malignant parotid mass
Essential facts and insights about Parotid Mass
Primary ICD-10-CM Codes for parotid mass
Decision Criteria
clinical Criteria
- Histological confirmation of malignancy
Applicable To
- Mucoepidermoid carcinoma
- Acinic cell carcinoma
Excludes
- Benign neoplasm of parotid gland (D110)
Clinical Validation Requirements
- Histological confirmation of malignancy
- Imaging showing invasive features
Code-Specific Risks
- Coding without histological confirmation
Coding Notes
- Ensure malignancy is confirmed before using C07.
D110 - Benign neoplasm of parotid gland
Use when pathology 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 showing non-invasive features
Coding Notes
Ensure benign nature is confirmed before using D110.
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 Parotid 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 coding standards., Financial: Potential claim denials due to incomplete information.
Mitigation Strategy
Always document left or right parotid gland., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Wait for pathology report before assigning C07.
Impact
Coding without confirmed pathology increases audit risk.
Mitigation Strategy
Require pathology report before finalizing code.
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 Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Parotid Mass
Use these documentation templates to ensure complete and accurate documentation for Parotid Mass. These templates include all required elements for proper coding and billing.
Post-operative documentation for parotidectomy
Specialty: OtolaryngologyRequired Elements
- Procedure details
- Pathology findings
- Post-operative plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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