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ICD-10 Guide
ICD-10 CodesD15.2

D15.2

Billable

Benign neoplasm of mediastinum

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

Code Description

ICD-10 D15.2 is a billable code used to indicate a diagnosis of benign neoplasm of mediastinum.

Key Diagnostic Point:

Benign neoplasms of the mediastinum are non-cancerous tumors that arise in the mediastinal space, which is located between the lungs and contains vital structures such as the heart, great vessels, trachea, esophagus, and thymus. These neoplasms can be classified into various types, including thymomas, neurogenic tumors, and germ cell tumors. While benign, these tumors can cause significant symptoms due to their location, including respiratory distress, chest pain, or obstruction of nearby structures. Diagnosis typically involves imaging studies such as chest X-rays, CT scans, or MRIs, followed by biopsy for definitive diagnosis. Surveillance is crucial as some benign tumors may exhibit growth or cause complications, necessitating surgical intervention. Although the malignant potential of benign neoplasms is low, certain types, such as thymomas, may have associated risks for malignant transformation. Regular follow-up and monitoring are essential to ensure timely management of any changes in the tumor's behavior.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasm types that may require specific documentation.
  • Potential for overlapping symptoms with malignant conditions.
  • Need for precise imaging and biopsy results for accurate coding.
  • Variability in treatment approaches based on tumor type and location.

Audit Risk Factors

  • Inadequate documentation of tumor type and characteristics.
  • Failure to document surveillance and follow-up care.
  • Misclassification of benign neoplasms as malignant.
  • Lack of clarity in imaging and biopsy results.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Management of thymomas and neurogenic tumors, including surgical interventions.

Billing Considerations

Ensure accurate staging and follow-up documentation to monitor for potential malignant transformation.

Pulmonology

Documentation Requirements

Pulmonary function tests, imaging results, and symptom assessments.

Common Clinical Scenarios

Evaluation of mediastinal masses causing respiratory symptoms.

Billing Considerations

Document the impact of the neoplasm on respiratory function and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use D15.2 When
  • According to ICD
  • 10 coding guidelines, D15
  • 2 should be used when a benign neoplasm of the mediastinum is confirmed through imaging or biopsy
  • It is essential to document the specific type of neoplasm and any associated symptoms or complications

Exclusion Criteria

Do NOT use D15.2 When
  • Exclusion criteria include malignant neoplasms and conditions not classified as benign

Related ICD-10 Codes

Related CPT Codes

32480CPT Code

Thoracotomy, with excision of mediastinal tumor

Clinical Scenario

Used when a benign mediastinal tumor is surgically removed.

Documentation Requirements

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

Specialty Considerations

Ensure alignment between the surgical procedure and the diagnosis of a benign neoplasm.

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. D15.2 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient 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. D15.2 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient management.

Reimbursement & Billing Impact

reimbursement processes. D15.2 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient 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 types of benign neoplasms found in the mediastinum?

Common types include thymomas, neurogenic tumors, and germ cell tumors. Each type may have different implications for treatment and follow-up.