ICD-10 Guide

D27

Billable

Benign neoplasm of ovary

Chapter 2:Neoplasms

BILLABLE STATUSYes

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/05/2025

Code Description

ICD-10 D27 is a billable code used to indicate a diagnosis of benign neoplasm of ovary.

Key Diagnostic Point:

Benign neoplasms of the ovary are non-cancerous tumors that arise from the ovarian tissue. These tumors can vary in size and may be asymptomatic or present with symptoms such as abdominal pain, bloating, or changes in menstrual cycles. Common types of benign ovarian neoplasms include serous cystadenomas, mucinous cystadenomas, and dermoid cysts (teratomas). Diagnosis typically involves imaging studies such as ultrasound or MRI, and in some cases, laparoscopy may be performed for definitive diagnosis and treatment. Management often includes monitoring for changes in size or symptoms, and surgical intervention may be necessary if the neoplasm causes significant discomfort or has the potential for complications. Follow-up care is essential to ensure that the neoplasm remains benign and to monitor for any potential recurrence. The prognosis for patients with benign ovarian neoplasms is generally favorable, with a low risk of malignant transformation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

Variability in presentation and symptoms of benign neoplasms
Need for imaging studies to confirm diagnosis
Differentiation from malignant ovarian tumors
Potential for surgical intervention and associated coding

Audit Risk Factors

Inadequate documentation of symptoms and clinical findings
Failure to document imaging studies or surgical interventions
Misclassification of benign neoplasm as malignant
Lack of follow-up documentation

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed documentation of clinical findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with pelvic pain, abnormal ultrasound findings, or routine gynecological exams.

Billing Considerations

Ensure accurate differentiation between benign and malignant neoplasms, and document any surgical interventions performed.

Radiology

Documentation Requirements

Clear imaging reports detailing the characteristics of the ovarian mass.

Common Clinical Scenarios

Ultrasound or MRI evaluations of ovarian masses.

Billing Considerations

Radiologists should provide comprehensive descriptions to aid in accurate coding and diagnosis.

Coding Guidelines

Inclusion Criteria

Use D27 When

Follow official coding guidelines for benign neoplasms, ensuring accurate documentation of the diagnosis, treatment, and follow
Include any relevant imaging studies and surgical procedures in the documentation

Exclusion Criteria

Do NOT use D27 When

No specific exclusions found.

Related CPT Codes

58661CPT Code

Laparoscopic excision of ovarian cyst

Clinical Scenario

Used when a benign ovarian neoplasm requires surgical intervention.

Documentation Requirements

Document the indication for surgery, findings during the procedure, and post-operative care.

Specialty Considerations

Ensure that the surgical report includes details on the type of neoplasm and any histological 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 ovarian neoplasms, improving the accuracy of data collection and reimbursement processes. The granularity of codes helps in better tracking of these conditions and their management.

ICD-9 vs ICD-10

Reimbursement & Billing Impact

reimbursement processes. The granularity of codes helps in better tracking of these conditions and their 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 ovarian neoplasms?

Common types include serous cystadenomas, mucinous cystadenomas, and dermoid cysts. Each type has distinct characteristics and management approaches.

How is a benign ovarian neoplasm diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or MRI, and may require surgical evaluation for definitive diagnosis.

What is the management for benign ovarian neoplasms?

Management may include observation with regular follow-ups or surgical intervention if the neoplasm causes symptoms or complications.

ICD-10 D27 is a billable code used to indicate a diagnosis of benign neoplasm of ovary.