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ICD-10 Guide
ICD-10 CodesD48.111

D48.111

Billable

Desmoid tumor of chest wall

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

Code Description

ICD-10 D48.111 is a billable code used to indicate a diagnosis of desmoid tumor of chest wall.

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. The desmoid tumor of the chest wall specifically refers to tumors located in the soft tissues of the thoracic region. Although these tumors are not malignant, they can exhibit aggressive behavior, leading to local invasion and recurrence. Clinically, patients may present with a palpable mass, pain, or discomfort in the chest area. Imaging studies, such as MRI or CT scans, are often utilized to assess the extent of the tumor and its relationship to surrounding structures. Surgical excision is the primary treatment; however, due to the tumor's tendency to recur, close surveillance is necessary post-operatively. The uncertain behavior of desmoid tumors necessitates careful monitoring, as they can progress and cause significant morbidity despite being classified as benign. The management of desmoid tumors often involves a multidisciplinary approach, including surgical, medical, and sometimes radiation therapy, depending on the tumor's size, location, and symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies to confirm diagnosis
  • Potential for recurrence requiring ongoing surveillance
  • Differentiation from malignant neoplasms

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to document follow-up care and surveillance
  • Misclassification of tumor behavior
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with a palpable mass in the chest wall, requiring imaging and potential surgical intervention.

Billing Considerations

Ensure accurate staging and follow-up documentation to monitor for recurrence.

Surgery

Documentation Requirements

Operative reports detailing the surgical approach, margins, and any complications.

Common Clinical Scenarios

Surgical excision of desmoid tumors with post-operative follow-up.

Billing Considerations

Document the rationale for surgical intervention and any adjuvant therapies considered.

Coding Guidelines

Inclusion Criteria

Use D48.111 When
  • According to ICD
  • 10 coding guidelines, D48
  • 111 should be used when documenting a desmoid tumor specifically located in the chest wall
  • It is important to ensure that the diagnosis is supported by appropriate clinical documentation, including imaging and pathology reports

Exclusion Criteria

Do NOT use D48.111 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

Mastectomy, partial

Clinical Scenario

Used when a desmoid tumor requires partial mastectomy due to its location.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Oncology and surgical documentation must align for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement processes. The detailed classification helps in better tracking of treatment outcomes and resource utilization.

Resources

Clinical References

  • •
    American Cancer Society - Desmoid Tumors

Coding & Billing References

  • •
    American Cancer Society - Desmoid Tumors

Frequently Asked Questions

What is a desmoid tumor?

A desmoid tumor is a benign but aggressive neoplasm that arises from connective tissue and can invade surrounding structures. It is characterized by its infiltrative growth and potential for recurrence.

How is a desmoid tumor treated?

Treatment typically involves surgical excision, but due to the risk of recurrence, ongoing surveillance is essential. In some cases, systemic therapy may be considered.