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v1.0.0
ICD-10 Guide
ICD-10 CodesD13.0

D13.0

Billable

Benign neoplasm of esophagus

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

Code Description

ICD-10 D13.0 is a billable code used to indicate a diagnosis of benign neoplasm of esophagus.

Key Diagnostic Point:

Benign neoplasms of the esophagus are non-cancerous growths that can occur in the esophageal tissue. These neoplasms can arise from various cell types within the esophagus, including epithelial cells and connective tissue. Common types of benign esophageal neoplasms include leiomyomas, which are smooth muscle tumors, and adenomas, which are glandular tumors. While these tumors are not malignant, they can cause symptoms such as dysphagia (difficulty swallowing), chest pain, or obstruction, depending on their size and location. Surveillance for benign esophageal neoplasms is essential, as some may have the potential to undergo malignant transformation, particularly if they exhibit atypical features. Regular endoscopic evaluations may be recommended to monitor for changes in size or appearance. The management of benign esophageal neoplasms often involves symptomatic treatment, and in some cases, surgical intervention may be necessary to remove the tumor, especially if it is causing significant symptoms or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Variability in clinical presentation and symptoms
  • Need for precise documentation of tumor characteristics
  • Potential for malignant transformation requiring careful monitoring

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to document surveillance or follow-up plans
  • Misclassification of benign neoplasms as malignant
  • Lack of clarity in the clinical rationale for procedures

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed descriptions of the neoplasm, including size, location, and symptoms. Documentation of any imaging or endoscopic findings is crucial.

Common Clinical Scenarios

Patients presenting with dysphagia, chest pain, or incidental findings on imaging studies.

Billing Considerations

Gastroenterologists should ensure that the documentation reflects the benign nature of the neoplasm and any surveillance plans.

Surgery

Documentation Requirements

Operative reports must detail the surgical approach, findings, and any histopathological results.

Common Clinical Scenarios

Surgical intervention for symptomatic benign esophageal tumors.

Billing Considerations

Surgeons should document the rationale for surgery and any preoperative evaluations performed.

Coding Guidelines

Inclusion Criteria

Use D13.0 When
  • According to ICD
  • 10 coding guidelines, D13
  • 0 should be used when a benign neoplasm of the esophagus is confirmed through imaging or histopathological examination
  • It is essential to document the specific type of neoplasm and any relevant clinical details

Exclusion Criteria

Do NOT use D13.0 When
  • Exclusion criteria include malignant neoplasms of the esophagus, which should be coded separately

Related ICD-10 Codes

Related CPT Codes

43200CPT Code

Esophagogastroduodenoscopy (EGD)

Clinical Scenario

Used for diagnosis and surveillance of benign esophageal neoplasms.

Documentation Requirements

Document findings, including size and appearance of the neoplasm.

Specialty Considerations

Gastroenterologists should ensure that the procedure is justified based on clinical symptoms.

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. D13.0 provides a clear distinction from malignant neoplasms, which is crucial for patient management and 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. D13.0 provides a clear distinction from malignant neoplasms, which is crucial for patient management and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. D13.0 provides a clear distinction from malignant neoplasms, which is crucial for patient management 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 benign neoplasms of the esophagus?

Common symptoms include dysphagia, chest pain, and in some cases, obstruction. The symptoms often depend on the size and location of the neoplasm.

How often should patients with benign esophageal neoplasms be monitored?

Surveillance frequency depends on the type of neoplasm and clinical symptoms, but regular endoscopic evaluations are typically recommended.