ICD-10 Coding for Scrotal Mass(D29.2x, D40.1x, N50.89)
Complete ICD-10-CM coding and documentation guide for Scrotal Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Scrotal Mass
D29-D40Primary Range
Benign neoplasms and neoplasms of uncertain behavior of male genital organs
This range includes codes for benign and uncertain behavior neoplasms of the scrotum and testis.
Other disorders of male genital organs
This range includes codes for non-neoplastic disorders of the scrotum and testis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D29.2x | Benign neoplasm of testis | Use when a benign neoplasm is confirmed by pathology. |
|
| D40.1x | Neoplasm of uncertain behavior of testis | Use when the behavior of the neoplasm is uncertain and not confirmed by biopsy. |
|
| N50.89 | Other specified disorders of male genital organs | Use when the mass is symptomatic but not confirmed as neoplastic. |
|
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 scrotal mass
Essential facts and insights about Scrotal Mass
Primary ICD-10-CM Codes for scrotal mass
Decision Criteria
clinical Criteria
- Histological confirmation of benign neoplasm
Applicable To
- Benign neoplasm of testis
Excludes
- Malignant neoplasm of testis (C62.x)
Clinical Validation Requirements
- Pathology report confirming benign histology
- Imaging showing well-defined margins
Code-Specific Risks
- Misclassification if malignancy is suspected but not confirmed
Coding Notes
- Ensure laterality is documented for accurate coding.
D40.1x - Neoplasm of uncertain behavior of testis
Use when the behavior of the neoplasm is uncertain and not confirmed by biopsy.
Applicable To
- Neoplasm of uncertain behavior of testis
Excludes
- Benign neoplasm of testis (D29.2x)
Clinical Validation Requirements
- Imaging descriptors: 'ill-defined margins', 'heterogeneous vascularity'
Coding Notes
Document imaging findings and clinical suspicion clearly.
N50.89 - Other specified disorders of male genital organs
Use when the mass is symptomatic but not confirmed as neoplastic.
Applicable To
- Testicular mass not yet diagnosed
Excludes
- Neoplasm of testis (D29.2x, D40.1x)
Clinical Validation Requirements
- Physical exam findings
- Negative tumor markers
Coding Notes
Ensure documentation excludes neoplastic causes.
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 Scrotal Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D29.2x.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure imaging results are included in the patient's record.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always document and code the specific laterality of the mass.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement mandatory fields for laterality in EMR templates.
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 Scrotal Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Scrotal Mass
Use these documentation templates to ensure complete and accurate documentation for Scrotal Mass. These templates include all required elements for proper coding and billing.
Initial evaluation of scrotal mass
Specialty: UrologyRequired Elements
- Chief complaint
- History of present illness
- Physical examination findings
- Imaging results
- Laboratory results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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