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ICD-10 Guide
ICD-10 CodesD44.11

D44.11

Billable

Neoplasm of uncertain behavior of right adrenal gland

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

Code Description

ICD-10 D44.11 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of right adrenal gland.

Key Diagnostic Point:

D44.11 refers to a neoplasm of uncertain behavior located in the right adrenal gland. Neoplasms of uncertain behavior are tumors that cannot be definitively classified as benign or malignant based on histological examination. These tumors may exhibit atypical features that warrant careful monitoring due to their potential for progression. The adrenal glands, located atop each kidney, are responsible for producing hormones that regulate metabolism, immune response, and stress. Neoplasms in this area can disrupt hormonal balance and lead to various clinical manifestations, including hypertension, weight changes, and metabolic disturbances. Surveillance is crucial for these neoplasms, as they may require surgical intervention if they show signs of growth or malignancy. Regular imaging studies and hormonal evaluations are typically recommended to assess the tumor's behavior over time. The management of these neoplasms often involves a multidisciplinary approach, including endocrinologists, oncologists, and surgeons, to ensure comprehensive care and timely intervention if necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Uncertainty in behavior classification (benign vs malignant)
  • Need for ongoing surveillance and monitoring
  • Potential for hormonal impact on patient health
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Inadequate documentation of tumor behavior
  • Failure to document surveillance plans
  • Lack of clarity on hormonal effects
  • Misclassification of neoplasm type

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormonal assessment and imaging results.

Common Clinical Scenarios

Patients presenting with symptoms of hormonal imbalance or incidental findings on imaging.

Billing Considerations

Ensure clear documentation of hormonal evaluations and follow-up plans.

Oncology

Documentation Requirements

Comprehensive tumor board discussions and treatment plans.

Common Clinical Scenarios

Patients with neoplasms requiring potential surgical intervention or chemotherapy.

Billing Considerations

Document multidisciplinary approaches and any changes in tumor behavior.

Coding Guidelines

Inclusion Criteria

Use D44.11 When
  • According to ICD
  • 10 coding guidelines, D44
  • 11 should be used when the neoplasm's behavior is uncertain and specifically located in the right adrenal gland
  • Coders must ensure that documentation supports the diagnosis and that any relevant imaging or pathology reports are included

Exclusion Criteria

Do NOT use D44.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

74177CPT Code

CT scan of abdomen and pelvis

Clinical Scenario

Used for initial evaluation and follow-up of adrenal neoplasms.

Documentation Requirements

Document indications for imaging and findings.

Specialty Considerations

Endocrinologists should ensure imaging correlates with hormonal evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. D44.11 provides a clear classification that aids in tracking and managing these conditions more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. D44.11 provides a clear classification that aids in tracking and managing these conditions more effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. D44.11 provides a clear classification that aids in tracking and managing these conditions more effectively.

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 does 'neoplasm of uncertain behavior' mean?

It refers to tumors that cannot be definitively classified as benign or malignant based on current medical knowledge and histological examination.