ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesC72.40

C72.40

Billable

Malignant neoplasm of unspecified acoustic nerve

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

Code Description

ICD-10 C72.40 is a billable code used to indicate a diagnosis of malignant neoplasm of unspecified acoustic nerve.

Key Diagnostic Point:

C72.40 refers to a malignant neoplasm affecting the acoustic nerve, which is responsible for hearing and balance. This neoplasm can arise from various cellular origins, including Schwann cells, leading to conditions such as vestibular schwannoma (acoustic neuroma). The acoustic nerve, or cranial nerve VIII, is located in the central nervous system (CNS) and is crucial for auditory processing and equilibrium. Symptoms may include hearing loss, tinnitus, and balance disturbances. Imaging studies, particularly MRI, are essential for diagnosis, allowing visualization of the tumor's size, location, and potential impact on surrounding structures. Molecular markers, such as mutations in the NF2 gene, may be investigated, especially in cases of familial syndromes like Neurofibromatosis Type II. Neurological function can be significantly affected, necessitating a multidisciplinary approach for management, including surgical intervention, radiation therapy, and rehabilitation. Accurate coding is vital for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise imaging documentation
  • Potential for misclassification with benign tumors
  • Complexity of treatment options and multidisciplinary care

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to specify laterality when applicable
  • Lack of clarity in treatment plans
  • Misalignment between diagnosis and procedure codes

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological assessments, imaging reports, and surgical notes.

Common Clinical Scenarios

Evaluation of patients with hearing loss and balance issues, pre- and post-operative assessments.

Billing Considerations

Ensure clear documentation of symptoms and imaging findings to support the diagnosis.

Neurosurgery

Documentation Requirements

Operative reports, pathology results, and follow-up notes.

Common Clinical Scenarios

Surgical intervention for tumor resection, management of complications.

Billing Considerations

Document the extent of resection and any neurological deficits post-surgery.

Coding Guidelines

Inclusion Criteria

Use C72.40 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, imaging findings, and treatment plans
  • Include any relevant history of neurofibromatosis or other syndromic conditions

Exclusion Criteria

Do NOT use C72.40 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61548CPT Code

Excision of acoustic neuroma

Clinical Scenario

Used in cases where surgical intervention is required for malignant tumors.

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 malignant neoplasms, improving the granularity of data for research and treatment planning. C72.40 captures the complexity of acoustic nerve tumors, facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the granularity of data for research and treatment planning. C72.40 captures the complexity of acoustic nerve tumors, facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the granularity of data for research and treatment planning. C72.40 captures the complexity of acoustic nerve tumors, facilitating better tracking of treatment outcomes.

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 is required for diagnosing C72.40?

MRI is the preferred imaging modality for diagnosing malignant neoplasms of the acoustic nerve, providing detailed visualization of the tumor's characteristics.