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ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsC70

C70

Billable

Malignant neoplasm of meninges

Chapter 2:Neoplasms

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

Code Description

ICD-10 C70 is a billable code used to indicate a diagnosis of malignant neoplasm of meninges.

Key Diagnostic Point:

Malignant neoplasms of the meninges, classified under ICD-10 code C70, represent a rare but serious category of central nervous system (CNS) tumors. These tumors arise from the protective membranes covering the brain and spinal cord, known as the meninges. The most common type of malignant neoplasm in this category is meningioma, which can exhibit aggressive behavior and lead to significant neurological deficits. Symptoms often include headaches, seizures, and focal neurological deficits, depending on the tumor's location. Imaging studies, particularly MRI, are crucial for diagnosis, revealing the tumor's size, location, and potential involvement of adjacent structures. Molecular markers, such as the presence of specific genetic mutations, can aid in determining the tumor's aggressiveness and guiding treatment options. Treatment typically involves surgical resection, radiation therapy, and in some cases, chemotherapy. The prognosis varies widely based on factors such as tumor grade, location, and the patient's overall health. Accurate coding for C70 is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor presentation and symptoms
  • Need for precise imaging documentation
  • Differentiation from benign meningiomas
  • Potential for co-existing CNS conditions

Audit Risk Factors

  • Inadequate documentation of imaging findings
  • Failure to specify tumor grade
  • Misclassification of benign vs malignant tumors
  • Lack of comprehensive treatment documentation

Specialty Focus

Medical Specialties

Neurosurgery

Documentation Requirements

Detailed operative reports, imaging studies, and pathology results.

Common Clinical Scenarios

Surgical resection of meningiomas, management of post-operative complications.

Billing Considerations

Ensure accurate coding of tumor size and location as it impacts surgical approach.

Oncology

Documentation Requirements

Treatment plans, chemotherapy regimens, and follow-up imaging.

Common Clinical Scenarios

Adjuvant therapy post-surgery, management of recurrent tumors.

Billing Considerations

Documentation of molecular markers is crucial for treatment decisions.

Coding Guidelines

Inclusion Criteria

Use C70 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the tumor's location, size, and histological type
  • Include any relevant imaging studies and treatment plans in the medical record

Exclusion Criteria

Do NOT use C70 When
No specific exclusions found.

Related CPT Codes

61510CPT Code

Craniotomy for excision of a meningioma

Clinical Scenario

Used when a patient undergoes surgical resection of a meningioma coded as C70.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Neurosurgeons must document the extent of resection and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of CNS tumors, including malignant neoplasms of the meninges, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of CNS tumors, including malignant neoplasms of the meninges, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Brain Tumor Association
  • •
    National Cancer Institute - Meningioma

Coding & Billing References

  • •
    American Brain Tumor Association
  • •
    National Cancer Institute - Meningioma

Frequently Asked Questions

What are the common symptoms of malignant neoplasms of the meninges?

Common symptoms include headaches, seizures, and focal neurological deficits, which vary based on the tumor's location and size.

How is a malignant meningioma diagnosed?

Diagnosis typically involves imaging studies such as MRI, followed by histological confirmation through biopsy.

What treatment options are available for malignant neoplasms of the meninges?

Treatment options include surgical resection, radiation therapy, and chemotherapy, depending on the tumor's grade and location.