Neoplasm of uncertain behavior of right ovary
ICD-10 D39.11 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of right ovary.
A neoplasm of uncertain behavior of the right ovary refers to a growth or tumor that arises from the ovarian tissue but does not exhibit definitive characteristics of malignancy or benignity. These neoplasms can present as cysts, solid masses, or complex lesions and may be discovered incidentally during imaging studies or surgical procedures. The behavior of these neoplasms is classified as uncertain due to the lack of clear histological features that would categorize them as benign or malignant. Surveillance is crucial, as some neoplasms may have the potential to progress to malignancy over time. Regular monitoring through imaging and clinical evaluations is recommended to assess any changes in size or characteristics. The management of these neoplasms often involves a multidisciplinary approach, including gynecologists, oncologists, and radiologists, to determine the best course of action, which may include watchful waiting, surgical intervention, or further diagnostic testing.
Detailed imaging reports, pathology results, and clinical notes regarding the neoplasm's behavior and management plan.
Incidental findings on ultrasound, follow-up of previously diagnosed neoplasms, and pre-operative assessments.
Ensure clear documentation of the neoplasm's characteristics and any changes over time to support coding and billing.
Comprehensive treatment plans, histopathology reports, and follow-up evaluations.
Management of neoplasms with uncertain behavior, including discussions on potential malignancy and treatment options.
Documentation must reflect the multidisciplinary approach and any consultations with other specialties.
Used when a patient with D39.11 undergoes surgery for evaluation or removal of the neoplasm.
Operative report detailing the procedure, findings, and any pathology results.
Ensure that the surgical indication aligns with the diagnosis of uncertain behavior.
It refers to a tumor that cannot be definitively classified as benign or malignant based on current diagnostic criteria. These neoplasms require careful monitoring due to the potential for progression.