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ICD-10 Guide
ICD-10 CodesC74.11

C74.11

Billable

Malignant neoplasm of medulla of right adrenal gland

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

Code Description

ICD-10 C74.11 is a billable code used to indicate a diagnosis of malignant neoplasm of medulla of right adrenal gland.

Key Diagnostic Point:

C74.11 refers to a malignant neoplasm located in the medulla of the right adrenal gland. The adrenal glands, situated atop each kidney, consist of two main parts: the cortex and the medulla. The medulla produces catecholamines, including epinephrine and norepinephrine, which are critical for the body's stress response. Malignant neoplasms in this area can lead to excessive hormone production, resulting in symptoms such as hypertension, palpitations, and anxiety. Diagnosis typically involves imaging studies, such as CT or MRI scans, and may be confirmed through biopsy. Treatment often includes surgical resection, and in some cases, adjunctive therapies such as chemotherapy or radiation may be necessary. The prognosis depends on the tumor's size, stage, and the patient's overall health. Given the potential for significant metabolic and hormonal disturbances, careful monitoring and management of associated symptoms are crucial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between benign and malignant neoplasms
  • Need for precise anatomical localization
  • Potential for multiple hormone-secreting tumors
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of malignancy
  • Failure to specify the right adrenal gland
  • Lack of supporting imaging or pathology reports
  • Misclassification of tumor type

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of adrenal tumors, including surgical interventions.

Billing Considerations

Ensure accurate staging and grading of the tumor for treatment planning.

Endocrinology

Documentation Requirements

Hormonal assay results, clinical symptoms related to hormone excess, and follow-up care notes.

Common Clinical Scenarios

Management of hormone-secreting tumors and their metabolic effects.

Billing Considerations

Documenting the impact of hormone levels on patient health and treatment response.

Coding Guidelines

Inclusion Criteria

Use C74.11 When
  • According to ICD
  • 10 guidelines, C74
  • 11 should be used when a malignant neoplasm is confirmed in the medulla of the right adrenal gland
  • Documentation must support the diagnosis, including imaging and pathology results

Exclusion Criteria

Do NOT use C74.11 When
  • Exclusion criteria include benign tumors or neoplasms located in other parts of the adrenal gland

Related ICD-10 Codes

Related CPT Codes

15830CPT Code

Laparoscopic adrenalectomy

Clinical Scenario

Used for surgical removal of the malignant adrenal tumor.

Documentation Requirements

Operative reports detailing the procedure and findings.

Specialty Considerations

Ensure that the surgical approach and any complications are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of adrenal tumors, improving the accuracy of data collection and reimbursement processes. C74.11 provides a clear distinction between malignant and benign conditions, 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 adrenal tumors, improving the accuracy of data collection and reimbursement processes. C74.11 provides a clear distinction between malignant and benign conditions, which is crucial for treatment planning and patient management.

Reimbursement & Billing Impact

reimbursement processes. C74.11 provides a clear distinction between malignant and benign conditions, 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 significance of coding C74.11 accurately?

Accurate coding of C74.11 is crucial for appropriate treatment planning, reimbursement, and tracking of cancer statistics. It ensures that patients receive the necessary care and that healthcare providers are compensated for their services.