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v1.0.0
ICD-10 Guide
ICD-10 CodesD19.7

D19.7

Billable

Benign neoplasm of mesothelial tissue of other sites

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

Code Description

ICD-10 D19.7 is a billable code used to indicate a diagnosis of benign neoplasm of mesothelial tissue of other sites.

Key Diagnostic Point:

D19.7 refers to benign neoplasms arising from mesothelial tissue located in sites other than the pleura, peritoneum, or pericardium. Mesothelial tissue lines various cavities in the body, including the thoracic and abdominal cavities. Benign neoplasms of mesothelial origin can manifest as localized masses that may be asymptomatic or cause symptoms depending on their size and location. Common presentations include serous cystadenomas or localized fibrous tumors. While these neoplasms are non-cancerous, they can occasionally lead to complications such as obstruction or pressure effects on adjacent structures. Surveillance for these neoplasms is essential, particularly if they are symptomatic or growing, as they may require surgical intervention. Although benign, there is a small risk of malignant transformation in certain cases, necessitating careful monitoring and follow-up imaging as indicated. Accurate diagnosis often involves imaging studies and histopathological examination to confirm the benign nature of the neoplasm.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms
  • Need for precise documentation of location
  • Differentiation from malignant neoplasms
  • Potential for surgical intervention

Audit Risk Factors

  • Inadequate documentation of the neoplasm's location
  • Failure to document follow-up care or imaging
  • Misclassification as malignant neoplasm
  • Lack of clarity in the pathology report

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports and imaging studies must be included to confirm the benign nature of the neoplasm.

Common Clinical Scenarios

Patients presenting with incidental findings on imaging or symptomatic masses requiring evaluation.

Billing Considerations

Ensure that all imaging and pathology results are clearly documented to support the diagnosis.

Surgery

Documentation Requirements

Operative reports detailing the excision of the neoplasm and any findings during surgery.

Common Clinical Scenarios

Surgical removal of symptomatic benign neoplasms or those causing obstruction.

Billing Considerations

Document the rationale for surgical intervention and any histological findings.

Coding Guidelines

Inclusion Criteria

Use D19.7 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant imaging or pathology reports that confirm the benign nature of the neoplasm

Exclusion Criteria

Do NOT use D19.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

38500CPT Code

Biopsy of lymph nodes

Clinical Scenario

Used when a biopsy is performed to rule out malignancy in a suspected mesothelial neoplasm.

Documentation Requirements

Pathology report confirming benign nature.

Specialty Considerations

Oncology specialists should ensure clear documentation of 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. D19.7 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. D19.7 provides a clear distinction from malignant neoplasms, which is crucial for treatment planning and patient management.

Reimbursement & Billing Impact

reimbursement processes. D19.7 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 is the significance of coding D19.7 accurately?

Accurate coding of D19.7 is essential for proper patient management, ensuring appropriate follow-up and treatment, and avoiding misclassification as malignant neoplasms.