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v1.0.0
ICD-10 Guide
ICD-10 CodesD35.0

D35.0

Billable

Benign neoplasm of adrenal gland

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D35.0 is a billable code used to indicate a diagnosis of benign neoplasm of adrenal gland.

Key Diagnostic Point:

Benign neoplasms of the adrenal gland, such as adenomas, are non-cancerous tumors that arise from the adrenal cortex or medulla. These tumors can be functional or non-functional, with functional tumors producing hormones that may lead to clinical syndromes such as Cushing's syndrome or Conn's syndrome. Patients may present with symptoms related to hormone excess, such as hypertension, hypokalemia, or metabolic changes. Diagnosis typically involves imaging studies like CT or MRI to visualize the tumor, along with biochemical tests to assess hormone levels. Treatment may include surgical resection, especially if the tumor is functional or causing symptoms. Regular follow-up is essential to monitor for any changes in tumor size or hormone production, as well as to manage any associated conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between functional and non-functional tumors
  • Need for comprehensive documentation of symptoms and hormone levels
  • Variability in imaging findings and interpretation
  • Potential for co-existing conditions that complicate coding

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to document functional status of the neoplasm
  • Misclassification of benign neoplasm as malignant
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormonal assay results, imaging reports, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with hypertension, hypokalemia, or other symptoms of hormone excess.

Billing Considerations

Ensure documentation reflects the functional status of the neoplasm and any related endocrine disorders.

Surgery

Documentation Requirements

Operative reports detailing the surgical approach and findings.

Common Clinical Scenarios

Surgical intervention for adrenal adenomas or other benign tumors.

Billing Considerations

Document the rationale for surgery and any complications encountered during the procedure.

Coding Guidelines

Inclusion Criteria

Use D35.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate coding based on the tumor's characteristics and functional status
  • Include any relevant co
  • morbidities and document the clinical rationale for the diagnosis

Exclusion Criteria

Do NOT use D35.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

60512CPT Code

Laparoscopic adrenalectomy

Clinical Scenario

Performed for resection of a functional adrenal adenoma.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Endocrinologists and surgeons must coordinate documentation to ensure accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D35.0 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D35.0 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient management.

Reimbursement & Billing Impact

reimbursement processes. D35.0 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between benign and malignant adrenal neoplasms?

Benign adrenal neoplasms, such as adenomas, are non-cancerous and typically do not invade surrounding tissues or metastasize. In contrast, malignant adrenal neoplasms are cancerous and can spread to other parts of the body. Accurate coding is essential to reflect the nature of the tumor.