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ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsD19

D19

Billable

Benign neoplasm of mesothelial tissue

Chapter 2:Neoplasms

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

Code Description

ICD-10 D19 is a billable code used to indicate a diagnosis of benign neoplasm of mesothelial tissue.

Key Diagnostic Point:

Benign neoplasms of mesothelial tissue, such as those arising from the pleura, peritoneum, or pericardium, are generally non-cancerous growths that can occur in various anatomical locations. These neoplasms may present as localized masses and are often asymptomatic, discovered incidentally during imaging studies or surgical procedures. While benign, they can sometimes cause symptoms due to mass effect, such as pain or respiratory distress, depending on their size and location. Surveillance is essential, as these neoplasms can occasionally exhibit atypical features that warrant further investigation. Although the malignant potential of benign mesothelial neoplasms is low, there is a need for careful monitoring to ensure that they do not transform into malignant forms, particularly in patients with a history of asbestos exposure or other risk factors. Regular follow-up imaging and clinical evaluations are recommended to assess for any changes in size or characteristics of the neoplasm.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Understanding the anatomical location and implications of mesothelial tissue
  • Need for detailed documentation of imaging findings
  • Potential for atypical presentations requiring additional coding

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports and imaging studies must be included to support the diagnosis.

Common Clinical Scenarios

Patients presenting with incidental findings on imaging or those undergoing surveillance for known benign neoplasms.

Billing Considerations

Oncologists should be aware of the potential for atypical features that may necessitate further evaluation.

Pulmonology

Documentation Requirements

Pulmonary function tests and imaging studies should be documented to assess any impact on respiratory function.

Common Clinical Scenarios

Patients with pleural masses presenting with respiratory symptoms or those with a history of asbestos exposure.

Billing Considerations

Pulmonologists must document any changes in symptoms or imaging findings to ensure appropriate follow-up.

Coding Guidelines

Inclusion Criteria

Use D19 When
  • According to ICD
  • 10 coding guidelines, D19 should be used when a definitive diagnosis of a benign neoplasm of mesothelial tissue is established
  • It is important to document the specific location and any relevant clinical findings

Exclusion Criteria

Do NOT use D19 When
  • Exclusion criteria include any neoplasms that are confirmed malignant or those that do not arise from mesothelial tissue

Related CPT Codes

32551CPT Code

Pleural biopsy

Clinical Scenario

Used when a pleural mass is suspected to be a neoplasm.

Documentation Requirements

Pathology report confirming the benign nature of the neoplasm.

Specialty Considerations

Pulmonologists should ensure thorough documentation of the biopsy 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. D19 provides a clear distinction from malignant neoplasms, which is crucial for patient management and treatment planning.

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. D19 provides a clear distinction from malignant neoplasms, which is crucial for patient management and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. D19 provides a clear distinction from malignant neoplasms, which is crucial for patient management 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 monitoring benign mesothelial neoplasms?

Monitoring is crucial as benign mesothelial neoplasms can occasionally exhibit atypical features that may indicate a risk for malignant transformation, especially in patients with a history of exposure to carcinogens.