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ICD-10 Guide
ICD-10 CodesD28.0

D28.0

Billable

Benign neoplasm of vulva

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

Code Description

ICD-10 D28.0 is a billable code used to indicate a diagnosis of benign neoplasm of vulva.

Key Diagnostic Point:

Benign neoplasms of the vulva are non-cancerous growths that can arise from various tissues in the vulvar region, including skin, mucosa, and connective tissues. These neoplasms can present as lumps or masses and may vary in size, shape, and symptoms. Common types include vulvar fibromas, lipomas, and papillomas. Patients may experience discomfort, itching, or pain, particularly if the neoplasm is large or located in a sensitive area. Diagnosis typically involves a physical examination and may require imaging studies or biopsy to confirm the benign nature of the growth. Treatment options often include observation, surgical excision, or other interventions depending on the size, symptoms, and patient preference. Follow-up care is essential to monitor for any changes in the neoplasm or the development of new lesions. Regular gynecological examinations are recommended to ensure ongoing health and early detection of any potential complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and symptoms of benign neoplasms
  • Need for differential diagnosis to rule out malignancy
  • Potential for multiple types of neoplasms under the same code
  • Documentation requirements for surgical interventions

Audit Risk Factors

  • Inadequate documentation of the neoplasm's characteristics
  • Failure to document the rationale for surgical intervention
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of the neoplasm, including size, location, and symptoms; surgical notes if applicable.

Common Clinical Scenarios

Diagnosis and management of vulvar masses, excision of benign lesions, follow-up care.

Billing Considerations

Ensure clear documentation of the benign nature of the neoplasm to avoid misclassification.

Pathology

Documentation Requirements

Histopathological reports confirming the benign nature of the neoplasm.

Common Clinical Scenarios

Biopsy analysis of vulvar lesions, consultation on treatment options.

Billing Considerations

Accurate coding based on histological findings is crucial for proper billing.

Coding Guidelines

Inclusion Criteria

Use D28.0 When
  • According to ICD
  • 10 coding guidelines, D28
  • 0 should be used when a benign neoplasm of the vulva is diagnosed
  • It is important to document the specific type of neoplasm and any associated symptoms

Exclusion Criteria

Do NOT use D28.0 When
  • Exclusion criteria include malignant neoplasms and conditions that do not specifically pertain to the vulva

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Vulvectomy, partial or complete

Clinical Scenario

Used when surgical excision of a benign vulvar neoplasm is performed.

Documentation Requirements

Surgical notes detailing the procedure and findings.

Specialty Considerations

Gynecologists should ensure accurate coding based on the extent of the procedure.

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. D28.0 provides a clear distinction from malignant conditions, which is crucial for patient management and billing.

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. D28.0 provides a clear distinction from malignant conditions, which is crucial for patient management and billing.

Reimbursement & Billing Impact

reimbursement processes. D28.0 provides a clear distinction from malignant conditions, which is crucial for patient management and billing.

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 difference between benign and malignant neoplasms?

Benign neoplasms are non-cancerous growths that do not invade surrounding tissues or metastasize, while malignant neoplasms are cancerous and can spread to other parts of the body. Accurate coding is essential to reflect the nature of the neoplasm.