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v1.0.0
ICD-10 Guide
ICD-10 CodesC75.0

C75.0

Billable

Malignant neoplasm of parathyroid gland

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

Code Description

ICD-10 C75.0 is a billable code used to indicate a diagnosis of malignant neoplasm of parathyroid gland.

Key Diagnostic Point:

Malignant neoplasm of the parathyroid gland is a rare endocrine tumor that arises from the parathyroid tissue, which is responsible for regulating calcium levels in the body through the secretion of parathyroid hormone (PTH). This neoplasm can lead to hyperparathyroidism, characterized by elevated calcium levels, which may result in various metabolic disturbances such as bone pain, kidney stones, and neuromuscular symptoms. The malignancy can present with local symptoms such as neck swelling or pain, and may metastasize to regional lymph nodes or distant organs. Diagnosis typically involves imaging studies, serum calcium and PTH levels, and histopathological examination following biopsy. Treatment often requires surgical intervention, and in some cases, adjunctive therapies may be necessary. Due to its rarity, awareness and accurate coding of this condition are crucial for proper management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to potential misdiagnosis.
  • Need for precise documentation of tumor characteristics.
  • Differentiation from benign parathyroid adenomas.
  • Potential for metastasis requiring staging considerations.

Audit Risk Factors

  • Inadequate documentation of malignancy confirmation.
  • Failure to specify the extent of disease or metastasis.
  • Misclassification as benign conditions.
  • Lack of supporting imaging or laboratory results.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Comprehensive documentation of hormone levels, imaging studies, and biopsy results.

Common Clinical Scenarios

Patients presenting with hypercalcemia, neck masses, or unexplained bone pain.

Billing Considerations

Ensure clear documentation of the malignancy's nature and any associated metabolic disorders.

Surgical Oncology

Documentation Requirements

Detailed operative reports, pathology findings, and follow-up care notes.

Common Clinical Scenarios

Surgical intervention for parathyroid tumors, including pre-operative imaging and post-operative outcomes.

Billing Considerations

Accurate staging and documentation of surgical margins are critical for coding.

Coding Guidelines

Inclusion Criteria

Use C75.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the malignancy and any associated conditions
  • Include relevant imaging and laboratory results to support the diagnosis

Exclusion Criteria

Do NOT use C75.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

60500CPT Code

Parathyroidectomy

Clinical Scenario

Performed for malignant parathyroid tumors.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Endocrinologists and surgeons must collaborate on documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has improved specificity in coding malignant neoplasms, allowing for better tracking of rare conditions like C75.0. This specificity aids in research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has improved specificity in coding malignant neoplasms, allowing for better tracking of rare conditions like C75.0. This specificity aids in research and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has improved specificity in coding malignant neoplasms, allowing for better tracking of rare conditions like C75.0. This specificity aids in research and 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 are the common symptoms of malignant neoplasm of the parathyroid gland?

Common symptoms include hypercalcemia, bone pain, kidney stones, and neuromuscular symptoms such as weakness and fatigue.