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ICD-10 Guide
ICD-10 CodesD35.01

D35.01

Billable

Benign neoplasm of right adrenal gland

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

Code Description

ICD-10 D35.01 is a billable code used to indicate a diagnosis of benign neoplasm of right adrenal gland.

Key Diagnostic Point:

A benign neoplasm of the right adrenal gland refers to a non-cancerous tumor that arises from the tissues of the adrenal gland located on the right side of the body. These neoplasms can be classified into various types, including adenomas, which are the most common, and can produce hormones leading to conditions such as Cushing's syndrome or Conn's syndrome. Patients may present with symptoms related to hormonal imbalances, such as hypertension, weight gain, or electrolyte disturbances. Diagnosis typically involves imaging studies such as CT or MRI scans, and hormonal assays to assess adrenal function. Treatment may include surgical resection if the neoplasm is symptomatic or if there is uncertainty regarding its benign nature. Regular follow-up and monitoring are essential to ensure that the neoplasm does not progress or lead to complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Need for comprehensive imaging and lab results
  • Potential for hormonal activity affecting clinical presentation
  • Variability in documentation practices across specialties

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to document hormonal activity or symptoms
  • Misclassification of neoplasm type
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormonal assay results, imaging reports, and clinical symptoms must be documented.

Common Clinical Scenarios

Patients presenting with hypertension, unexplained weight gain, or adrenal incidentalomas.

Billing Considerations

Endocrinologists must ensure that all hormonal evaluations are clearly documented to support the diagnosis.

Surgery

Documentation Requirements

Operative reports detailing the surgical approach and findings during adrenalectomy.

Common Clinical Scenarios

Patients undergoing surgical resection of adrenal adenomas.

Billing Considerations

Surgeons should document the rationale for surgery and any findings that confirm the benign nature of the neoplasm.

Coding Guidelines

Inclusion Criteria

Use D35.01 When
  • According to ICD
  • 10 coding guidelines, D35
  • 01 should be used when a benign neoplasm of the right adrenal gland is confirmed through imaging and pathology
  • It is important to document any associated symptoms or hormonal activity to support the diagnosis

Exclusion Criteria

Do NOT use D35.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

15830CPT Code

Laparoscopic adrenalectomy

Clinical Scenario

Used when a patient with a benign adrenal neoplasm requires surgical removal.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Surgeons must document the indication for surgery and any intraoperative findings.

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. D35.01 provides a clear distinction between benign and malignant conditions, which is crucial for treatment planning.

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. D35.01 provides a clear distinction between benign and malignant conditions, which is crucial for treatment planning.

Reimbursement & Billing Impact

reimbursement processes. D35.01 provides a clear distinction between benign and malignant conditions, which is crucial for treatment planning.

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 imaging studies are required to confirm a diagnosis of D35.01?

Typically, a CT or MRI scan is required to visualize the adrenal gland and assess the size and characteristics of the neoplasm. Hormonal assays may also be necessary to evaluate for functional activity.