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v1.0.0
ICD-10 Guide
ICD-10 CodesD15.1

D15.1

Billable

Benign neoplasm of heart

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

Code Description

ICD-10 D15.1 is a billable code used to indicate a diagnosis of benign neoplasm of heart.

Key Diagnostic Point:

Benign neoplasms of the heart are non-cancerous growths that can occur in various structures of the heart, including the myocardium, endocardium, and pericardium. These neoplasms can be asymptomatic or may present with symptoms such as palpitations, chest pain, or heart murmurs, depending on their size and location. Common types of benign heart tumors include myxomas, lipomas, and fibromas. Myxomas, the most prevalent type, often arise in the left atrium and can obstruct blood flow or cause embolic events. Diagnosis typically involves imaging studies such as echocardiography, MRI, or CT scans. While benign, these neoplasms require careful monitoring due to the potential for complications, including obstruction of blood flow or, in rare cases, malignant transformation. Regular follow-up and imaging may be necessary to assess for changes in size or symptoms, guiding treatment decisions which may include surgical intervention if indicated. Understanding the benign nature of these tumors is crucial for appropriate management and patient education.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasm types that may require differentiation
  • Potential for misdiagnosis with malignant tumors
  • Need for precise documentation of symptoms and imaging findings
  • Variability in treatment approaches based on tumor location and size

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to document follow-up imaging or surveillance
  • Misclassification of benign tumors as malignant
  • Lack of clarity in treatment plans or interventions

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Detailed imaging reports, clinical notes on symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with palpitations or chest pain who undergo echocardiography revealing a mass.

Billing Considerations

Ensure clear documentation of the tumor's size, location, and any associated symptoms to support coding.

Oncology

Documentation Requirements

Pathology reports confirming benign nature, treatment notes, and follow-up imaging.

Common Clinical Scenarios

Patients with a known history of benign heart tumors undergoing surveillance imaging.

Billing Considerations

Documentation must clarify the benign diagnosis to avoid misclassification as malignant.

Coding Guidelines

Inclusion Criteria

Use D15.1 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, symptoms, and any imaging studies performed
  • Include details on the tumor's characteristics and any treatment provided

Exclusion Criteria

Do NOT use D15.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

33200CPT Code

Excision of cardiac tumor

Clinical Scenario

Used when a benign cardiac tumor is surgically removed.

Documentation Requirements

Operative report detailing the tumor's characteristics and surgical approach.

Specialty Considerations

Cardiology and surgical documentation must align for accurate coding.

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. D15.1 provides a clear distinction from malignant neoplasms, which is crucial for treatment and management.

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. D15.1 provides a clear distinction from malignant neoplasms, which is crucial for treatment and management.

Reimbursement & Billing Impact

reimbursement processes. D15.1 provides a clear distinction from malignant neoplasms, which is crucial for treatment and 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 are the common symptoms of a benign heart neoplasm?

Common symptoms may include palpitations, chest pain, shortness of breath, or fatigue, depending on the size and location of the tumor.

How often should patients with benign heart neoplasms be monitored?

Patients should undergo regular follow-up imaging, typically annually or as symptoms dictate, to assess for changes in the tumor's size or behavior.