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v1.0.0
ICD-10 Guide
ICD-10 CodesD13.30

D13.30

Billable

Benign neoplasm of unspecified part of small intestine

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

Code Description

ICD-10 D13.30 is a billable code used to indicate a diagnosis of benign neoplasm of unspecified part of small intestine.

Key Diagnostic Point:

A benign neoplasm of the small intestine refers to a non-cancerous tumor that arises from the tissues of the small intestine. These neoplasms can vary in size and may be asymptomatic or present with symptoms such as abdominal pain, obstruction, or gastrointestinal bleeding. Common types of benign neoplasms in the small intestine include adenomas, lipomas, and neurofibromas. The exact etiology of these tumors is often unknown, but they may be associated with genetic syndromes or conditions such as familial adenomatous polyposis. Surveillance for benign neoplasms is crucial, as some may have the potential to undergo malignant transformation over time, particularly if they are large or symptomatic. Regular monitoring through imaging studies or endoscopy may be recommended to assess for changes in size or appearance. Accurate coding of benign neoplasms is essential for appropriate management and follow-up, as it informs treatment decisions and potential surgical interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for precise documentation of tumor characteristics
  • Differentiation from malignant neoplasms
  • Potential for malignant transformation

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify the location of the neoplasm
  • Misclassification as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed descriptions of the neoplasm, including size, location, and any symptoms.

Common Clinical Scenarios

Patients presenting with abdominal pain or obstruction due to a benign neoplasm.

Billing Considerations

Ensure that the documentation reflects the benign nature and any surveillance plans.

Surgery

Documentation Requirements

Operative reports detailing the excision of the neoplasm and histopathological findings.

Common Clinical Scenarios

Surgical intervention for symptomatic benign neoplasms.

Billing Considerations

Document the rationale for surgery and any findings that may indicate potential malignancy.

Coding Guidelines

Inclusion Criteria

Use D13.30 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the neoplasm's characteristics and location

Exclusion Criteria

Do NOT use D13.30 When
  • Exclude malignant neoplasms and ensure that the diagnosis aligns with clinical findings

Related ICD-10 Codes

Related CPT Codes

44120CPT Code

Resection of small intestine

Clinical Scenario

Used when a benign neoplasm is surgically removed.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure that the diagnosis aligns with the procedure performed.

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 patient records and facilitating better management and follow-up.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management and follow-up.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management and follow-up.

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 D13.30 accurately?

Accurate coding of D13.30 is crucial for appropriate patient management, ensuring that benign neoplasms are monitored correctly and that any potential for malignant transformation is addressed in a timely manner.