ICD-10 Coding for Parotid Tumor(C07, D11.0)
Complete ICD-10-CM coding and documentation guide for Parotid Tumor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Parotid Tumor
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 malignant tumor is confirmed in the parotid gland. |
|
| D11.0 | Benign neoplasm of parotid gland | Use when a benign tumor is confirmed 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 tumor
Essential facts and insights about Parotid Tumor
Primary ICD-10-CM Codes for parotid tumor
Decision Criteria
clinical Criteria
- Biopsy confirms malignancy
documentation Criteria
- Documented SUVmax >4.2 on FDG-PET
Applicable To
- Mucoepidermoid carcinoma
- Adenocarcinoma
Excludes
- Benign neoplasm of parotid gland (D11.0)
Clinical Validation Requirements
- Biopsy confirmation of carcinoma
- Imaging showing SUVmax >4.2 on FDG-PET
Code-Specific Risks
- Incorrectly coding as benign when malignancy is confirmed.
Coding Notes
- Ensure laterality and histologic type are documented.
D11.0 - Benign neoplasm of parotid gland
Use when a benign tumor is confirmed in the parotid gland.
Applicable To
- Pleomorphic adenoma
- Benign mixed tumor
Excludes
- Malignant neoplasm of parotid gland (C07)
Clinical Validation Requirements
- Imaging showing well-circumscribed mass
- Biopsy showing myoepithelial cells without atypia
Coding Notes
Document size and location of the tumor.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tobacco use
Z72.0Differential 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 Tumor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C07.
Impact
Clinical: Impacts treatment planning and surgical approach., Regulatory: Non-compliance with coding standards., Financial: May affect reimbursement rates.
Mitigation Strategy
Always include laterality in clinical notes., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to incorrect DRG assignment and affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Always confirm the diagnosis with pathology and use specific codes like C07 or D11.0.
Impact
Using unspecified codes when specific ones are available.
Mitigation Strategy
Regular training on coding updates and specificity requirements.
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 Tumor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Parotid Tumor
Use these documentation templates to ensure complete and accurate documentation for Parotid Tumor. These templates include all required elements for proper coding and billing.
Malignant Parotid Tumor
Specialty: OtolaryngologyRequired Elements
- Location and laterality
- Histologic type
- Biopsy results
- Imaging findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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