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v1.0.0
ICD-10 Guide
ICD-10 CodesD15.7

D15.7

Billable

Benign neoplasm of other specified intrathoracic organs

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

Code Description

ICD-10 D15.7 is a billable code used to indicate a diagnosis of benign neoplasm of other specified intrathoracic organs.

Key Diagnostic Point:

D15.7 refers to benign neoplasms located in specified intrathoracic organs that are not classified elsewhere. These neoplasms can arise from various tissues within the thoracic cavity, including the lungs, pleura, mediastinum, and other structures. Common types of benign neoplasms in this category include hamartomas, lipomas, and neurogenic tumors. While benign, these neoplasms can still cause significant clinical symptoms due to their size or location, potentially leading to respiratory distress or obstructive symptoms. Diagnosis typically involves imaging studies such as CT scans or MRIs, and histological examination may be necessary to confirm the benign nature of the tumor. Surveillance is often recommended to monitor for any changes in size or symptoms, as well as to rule out the rare possibility of malignant transformation. The management of these neoplasms may vary from observation to surgical intervention, depending on the clinical scenario and patient symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasm types that may fall under this code
  • Need for precise documentation of tumor location and characteristics
  • Differentiation from malignant neoplasms
  • Potential for overlapping symptoms with other thoracic conditions

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify the exact location of the neoplasm
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation for surveillance

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed imaging reports and pathology results are essential for accurate coding.

Common Clinical Scenarios

Patients presenting with incidental findings on imaging or symptomatic neoplasms requiring intervention.

Billing Considerations

Ensure clear documentation of the benign nature of the neoplasm and any associated symptoms.

Oncology

Documentation Requirements

Comprehensive treatment plans and follow-up notes to monitor for changes in the neoplasm.

Common Clinical Scenarios

Patients undergoing surveillance for benign tumors or those with a history of neoplasms.

Billing Considerations

Documentation must clearly differentiate between benign and malignant conditions to avoid coding errors.

Coding Guidelines

Inclusion Criteria

Use D15.7 When
  • According to ICD
  • 10 coding guidelines, D15
  • 7 should be used when the neoplasm is confirmed as benign and specified as located in intrathoracic organs
  • Coders must ensure that the documentation supports the diagnosis and that the neoplasm is not classified under other specific codes

Exclusion Criteria

Do NOT use D15.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

32405CPT Code

Thoracotomy, with excision of tumor

Clinical Scenario

Used when a benign neoplasm requires surgical intervention.

Documentation Requirements

Operative reports detailing the tumor's characteristics and location.

Specialty Considerations

Pulmonologists and thoracic surgeons should ensure accurate coding based on the surgical findings.

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. D15.7 provides a clear classification for benign neoplasms of intrathoracic organs, which was less specific in ICD-9.

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. D15.7 provides a clear classification for benign neoplasms of intrathoracic organs, which was less specific in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. D15.7 provides a clear classification for benign neoplasms of intrathoracic organs, which was less specific in ICD-9.

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 D15.7 accurately?

Accurate coding of D15.7 is crucial for proper reimbursement, tracking of benign neoplasms, and ensuring appropriate patient management. It helps in distinguishing benign conditions from malignant ones, which is vital for treatment planning and follow-up.