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ICD-10 Guide
ICD-10 CodesD48.110

D48.110

Billable

Desmoid tumor of head and neck

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

Code Description

ICD-10 D48.110 is a billable code used to indicate a diagnosis of desmoid tumor of head and neck.

Key Diagnostic Point:

Desmoid tumors, also known as aggressive fibromatosis, are benign neoplasms that arise from the connective tissue and are characterized by their infiltrative growth pattern. They can occur in various anatomical locations, including the head and neck region. Although classified as benign, desmoid tumors exhibit a tendency for local recurrence and can cause significant morbidity due to their aggressive behavior and potential to invade surrounding structures. The etiology of desmoid tumors is not fully understood, but they are often associated with genetic conditions such as familial adenomatous polyposis (FAP). Clinically, patients may present with a palpable mass, pain, or functional impairment depending on the tumor's location. Imaging studies, including MRI and CT scans, are essential for assessing the extent of the tumor and planning surgical intervention. Surveillance is critical due to the potential for progression and recurrence, necessitating regular follow-up with imaging and clinical evaluation. Treatment options may include surgical excision, observation, and, in some cases, pharmacological therapies such as nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal therapies. The management of desmoid tumors requires a multidisciplinary approach, involving oncologists, surgeons, and radiologists.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and behavior of desmoid tumors
  • Need for precise documentation of tumor location and characteristics
  • Potential association with genetic syndromes requiring additional coding
  • Differentiation from other neoplasms in the head and neck region

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to note the benign nature of the tumor
  • Lack of follow-up documentation indicating surveillance
  • Misclassification of the tumor as malignant

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed clinical notes on tumor size, location, and treatment plan.

Common Clinical Scenarios

Patients presenting with a new mass in the head and neck region, requiring imaging and potential biopsy.

Billing Considerations

Ensure documentation reflects the benign nature and potential for recurrence.

Surgery

Documentation Requirements

Operative reports detailing excision margins and any complications.

Common Clinical Scenarios

Surgical intervention for desmoid tumors with varying degrees of infiltration.

Billing Considerations

Document the extent of resection and any need for reconstructive procedures.

Coding Guidelines

Inclusion Criteria

Use D48.110 When
  • According to ICD
  • 10 guidelines, D48
  • 110 should be used for desmoid tumors of the head and neck
  • Coders must ensure accurate documentation of the tumor's behavior and any associated conditions

Exclusion Criteria

Do NOT use D48.110 When
  • Exclusion criteria include malignant neoplasms and other benign tumors that do not fit the description of desmoid tumors

Related ICD-10 Codes

Related CPT Codes

19301CPT Code

Excision, tumor, soft tissue of head and neck

Clinical Scenario

Used when a desmoid tumor is surgically excised.

Documentation Requirements

Operative report detailing the excision and margins.

Specialty Considerations

Ensure the surgical approach is documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of desmoid tumors, improving the accuracy of data collection and reimbursement processes. The detailed classification helps in tracking treatment outcomes and recurrence rates.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of desmoid tumors, improving the accuracy of data collection and reimbursement processes. The detailed classification helps in tracking treatment outcomes and recurrence rates.

Reimbursement & Billing Impact

reimbursement processes. The detailed classification helps in tracking treatment outcomes and recurrence rates.

Resources

Clinical References

  • •
    American Academy of Family Physicians

Coding & Billing References

  • •
    American Academy of Family Physicians

Frequently Asked Questions

What is a desmoid tumor?

A desmoid tumor is a benign neoplasm that arises from connective tissue and is known for its infiltrative growth pattern. It can occur in various locations, including the head and neck.

How are desmoid tumors treated?

Treatment options for desmoid tumors may include surgical excision, observation, and pharmacological therapies. Due to their tendency to recur, regular surveillance is essential.