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ICD-10 Guide
ICD-10 CodesD35.00

D35.00

Billable

Benign neoplasm of unspecified adrenal gland

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

Code Description

ICD-10 D35.00 is a billable code used to indicate a diagnosis of benign neoplasm of unspecified adrenal gland.

Key Diagnostic Point:

Benign neoplasms of the adrenal gland are non-cancerous tumors that can arise from various cell types within the adrenal glands, which are located on top of each kidney. These neoplasms can be functional or non-functional, meaning they may or may not produce hormones. Common types of benign adrenal tumors include adrenal adenomas, which can lead to conditions such as Cushing's syndrome or hyperaldosteronism if they secrete hormones. The diagnosis of a benign adrenal neoplasm typically involves imaging studies such as CT or MRI scans, which help in identifying the size and characteristics of the tumor. In many cases, these tumors are discovered incidentally during imaging for unrelated issues. Surveillance protocols often include regular imaging and hormonal evaluations to monitor for any changes in size or function. Although benign, these neoplasms can lead to significant clinical symptoms depending on their hormonal activity, necessitating careful management and follow-up. Treatment may involve surgical intervention if the tumor is large or symptomatic, but many patients may simply require observation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies to confirm diagnosis
  • Differentiation from malignant adrenal tumors
  • Potential for hormonal activity affecting treatment decisions

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify functional versus non-functional tumors
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation for surveillance

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with hypertension, unexplained weight gain, or incidental findings on imaging.

Billing Considerations

Ensure clear documentation of hormonal activity and any treatment plans.

Surgery

Documentation Requirements

Operative reports, pre-operative imaging, and post-operative follow-up notes.

Common Clinical Scenarios

Patients requiring surgical intervention for symptomatic adrenal tumors.

Billing Considerations

Document the rationale for surgery and any findings during the procedure.

Coding Guidelines

Inclusion Criteria

Use D35.00 When
  • According to ICD
  • 10 guidelines, D35
  • 00 should be used when the specific location of the benign neoplasm is not documented
  • It is important to ensure that the neoplasm is confirmed as benign through appropriate diagnostic measures

Exclusion Criteria

Do NOT use D35.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 60500CPT Code

Adrenalectomy, open

Clinical Scenario

Used when a benign adrenal neoplasm requires surgical removal.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Endocrinologists and surgeons must coordinate documentation for 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. D35.00 provides a clear designation for unspecified adrenal neoplasms, facilitating better tracking of these conditions.

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. D35.00 provides a clear designation for unspecified adrenal neoplasms, facilitating better tracking of these conditions.

Reimbursement & Billing Impact

reimbursement processes. D35.00 provides a clear designation for unspecified adrenal neoplasms, facilitating better tracking of these conditions.

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 significance of coding D35.00?

Coding D35.00 accurately reflects the presence of a benign neoplasm in the adrenal gland, which is crucial for proper management and follow-up of the patient. It also aids in the collection of epidemiological data regarding adrenal tumors.