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ICD-10 Guide
ICD-10 CodesD14.4

D14.4

Billable

Benign neoplasm of respiratory system, unspecified

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

Code Description

ICD-10 D14.4 is a billable code used to indicate a diagnosis of benign neoplasm of respiratory system, unspecified.

Key Diagnostic Point:

Benign neoplasms of the respiratory system are non-cancerous growths that can occur in various parts of the respiratory tract, including the trachea, bronchi, and lungs. These neoplasms may arise from epithelial or mesenchymal tissues and can present as solitary lesions or multiple growths. Common types include hamartomas, adenomas, and fibromas. While benign, these neoplasms can cause symptoms such as cough, wheezing, or obstructive pneumonia due to their location and size. Diagnosis typically involves imaging studies such as CT scans or MRIs, and histological examination through biopsy may be necessary for definitive diagnosis. Surveillance is essential to monitor for any changes in size or symptoms, as some benign neoplasms can exhibit atypical features that warrant further investigation. Although benign, the potential for malignant transformation exists, albeit rarely, necessitating careful follow-up and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for differential diagnosis to rule out malignancy
  • Potential for atypical histological features
  • Documentation of imaging and biopsy results

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document follow-up plans
  • Misclassification of benign neoplasm as malignant
  • Lack of imaging or biopsy results in the medical record

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed clinical history, imaging results, and biopsy reports.

Common Clinical Scenarios

Evaluation of a patient with a lung mass found incidentally on imaging.

Billing Considerations

Ensure clear documentation of the benign nature and any follow-up plans.

Pathology

Documentation Requirements

Histopathological reports and correlation with clinical findings.

Common Clinical Scenarios

Review of biopsy specimens from patients with suspected benign lung lesions.

Billing Considerations

Accurate reporting of histological features to support benign diagnosis.

Coding Guidelines

Inclusion Criteria

Use D14.4 When
  • Follow ICD
  • CM guidelines for coding benign neoplasms, ensuring specificity in documentation
  • Use D14
  • 4 when the neoplasm is confirmed as benign but unspecified

Exclusion Criteria

Do NOT use D14.4 When
  • Exclude malignant neoplasms and ensure proper documentation of the neoplasm's nature

Related ICD-10 Codes

Related CPT Codes

31600CPT Code

Bronchoscopy, rigid or flexible

Clinical Scenario

Used for biopsy of a suspected benign neoplasm.

Documentation Requirements

Document indication for procedure and findings.

Specialty Considerations

Pulmonology must ensure clear rationale for bronchoscopy.

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 data accuracy and facilitating better patient management. D14.4 provides a clear designation for unspecified benign neoplasms, aiding in tracking and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving data accuracy and facilitating better patient management. D14.4 provides a clear designation for unspecified benign neoplasms, aiding in tracking and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving data accuracy and facilitating better patient management. D14.4 provides a clear designation for unspecified benign neoplasms, aiding in tracking 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 is the significance of coding D14.4?

Coding D14.4 accurately reflects the diagnosis of a benign neoplasm in the respiratory system, which is crucial for appropriate management and follow-up care.