Liver or biliary system, benign neoplasm: Difference between revisions
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{{ICD10 transition status | {{ICD10 transition status | ||
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{{ICD10 category|Gastrointestinal}}{{ICD10 category|Neoplastic}}{{ICD10 category|Gastrointestinal neoplasm}} | {{ICD10 category|Gastrointestinal}}{{ICD10 category|Neoplastic}}{{ICD10 category|Benign neoplasm}}{{ICD10 category|Gastrointestinal neoplasm}} | ||
== Additional Info == | == Additional Info == | ||
*Benign (noncancerous) liver tumors are common. | '''Includes''' | ||
*Benign (noncancerous) liver tumors are common and include liver cysts. | |||
*The three most common types of benign liver tumors are: | *The three most common types of benign liver tumors are: | ||
**hemangiomas (masses of abnormal blood vessels) | **hemangiomas (masses of abnormal blood vessels) | ||
**focal nodular hyperplasias | **focal nodular hyperplasias | ||
**hepatocellular adenomas | **hepatocellular adenomas | ||
*Tumors of the biliary tract are uncommon but serious problems. Benign adenomas or papillomas are exceedingly rare in comparison with malignant tumors. | |||
{{ICD10 Guideline Cancer}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
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== Related CCI Codes == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 07:26, 2024 April 6
| ICD10 Diagnosis | |
| Dx: | Liver or biliary system, benign neoplasm |
| ICD10 code: | D13.4 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
Includes
- Benign (noncancerous) liver tumors are common and include liver cysts.
- The three most common types of benign liver tumors are:
- hemangiomas (masses of abnormal blood vessels)
- focal nodular hyperplasias
- hepatocellular adenomas
- Tumors of the biliary tract are uncommon but serious problems. Benign adenomas or papillomas are exceedingly rare in comparison with malignant tumors.
Using ICD10 Malignancy Codes as a Comorbid Diagnosis
- Any cancer/malignancy (either a "solid tumor" or a leukemia/lymphoma/bone marrow malignancy/"liquid tumor", i.e. any ICD10 code from C00-C99) can be a comorbid diagnosis --- BUT it's vital to distinguish malignancies in this category based on whether they are believed to be cured or not.
- If it's still present (or believed to be present), then just include the code for the specific cancer as a comorbid diagnosis.
- If INSTEAD, it's presumed cured, then in the "bin" of comorbid diagnoses combine the code for the specific cancer with this code: Past history, cancer (any type), believed cured
Metastases
| Metastasis codes: |
|
Regarding Presumptive Diagnosis of Malignancy
- Rarely a presumptive diagnosis is made without any tissue confirmation. This generally occurs with:
- risk of obtaining tissue is very high
- plan would be palliative regardless
- patient would refuse care regardless.
- Our issue for how to code a presumed malignancy without definitive histopathologic proof is this:
- If the physicians are going to proceed with a treatment plan without that definitive histopathologic proof --- then code whatever is their best guess about what is present. Example: believed to be lung cancer with a big brain met, and they've decided NOT to do any biopsy but to give palliative radiation therapy, then you'd code lung cancer, and met to brain.
- If the plan is to obtain a definitive histopathologic diagnosis soon or in the future, then instead code: Neoplasm of uncertain behavior (i.e. not clear if benign or malignant), NOS
"work-up for cancer"
If the cancer has not been confirmed then it should not be coded as cancer. Code relevant test abnormal test results or symptoms.
| Testing codes: |
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| Symptom/Sign codes: |
|
| Example: |
|
"I have a patient who comes in with vague respiratory and gi symptoms. They did a chest xray and found a lung mass. They are now working him up for a probable lung ca, with mets to various places. In the old coding I would use ca-nyd. I actually use the ca nyd subcode a lot. I’ve talked to you about this before, because there is no ca nyd in icd10. You told me that you either have cancer or you don’t. For this particular patient I really wouldn’t have anything else I could code in icd10 for him. His symptoms are extremely vague. I don’t really like coding just symptoms, if there isn’t a proper admit diagnosis that fits better anyway. I found a “neoplasm of uncertain behavior (i.e. uncertain if benign or malignant), nos”, but I don’t really like that one. It doesn’t really fit. Is it possible to get something like “admit for workup of malignancy”, or something along those lines?" (Debbie, 12:40, 2018 October 4 (CDT)) How should this be coded? Ttenbergen 12:40, 2018 October 4 (CDT) |
Alternate ICD10s to consider coding instead or in addition
| Gastrointestinal neoplasm codes: |
|
Hemangioma or lymphangioma, benign neoplasm, any site
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
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Misc
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