ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesD48.118

D48.118

Billable

Desmoid tumor of other site

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

Code Description

ICD-10 D48.118 is a billable code used to indicate a diagnosis of desmoid tumor of other site.

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. These tumors can occur in various anatomical locations, including the abdomen, limbs, and trunk, and are often associated with a history of trauma or surgery. Although classified as benign, desmoid tumors exhibit uncertain behavior, meaning they can be locally aggressive and have a tendency to recur after surgical excision. The exact etiology remains unclear, but genetic factors, particularly mutations in the APC gene, have been implicated. Surveillance is crucial due to the potential for local progression, which may necessitate further intervention. Patients may present with pain, swelling, or a palpable mass, and imaging studies such as MRI or CT scans are often employed for diagnosis and monitoring. Treatment options vary and may include surgical resection, observation, or pharmacological therapies such as nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal therapies. Given their unpredictable nature, careful documentation and coding are essential for appropriate management and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor location and presentation
  • Potential for recurrence requiring ongoing surveillance
  • Differentiation from other neoplasms
  • Documentation of uncertain behavior and treatment plans

Audit Risk Factors

  • Inadequate documentation of tumor behavior
  • Failure to document treatment rationale
  • Misclassification of tumor type
  • Lack of follow-up notes indicating surveillance

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with desmoid tumors post-surgery or trauma, requiring monitoring for recurrence.

Billing Considerations

Ensure clear documentation of tumor characteristics and treatment decisions to support coding.

Surgery

Documentation Requirements

Operative reports detailing excision and margins, as well as postoperative follow-up notes.

Common Clinical Scenarios

Surgical intervention for desmoid tumors, including re-excision for recurrence.

Billing Considerations

Documenting the rationale for surgical decisions and any complications encountered.

Coding Guidelines

Inclusion Criteria

Use D48.118 When
  • Follow the official ICD
  • CM coding guidelines for neoplasms, ensuring accurate documentation of tumor behavior and treatment
  • Include any relevant history of trauma or surgery that may relate to the tumor's development

Exclusion Criteria

Do NOT use D48.118 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

19120CPT Code

Excision, tumor, soft tissue of neck or thorax

Clinical Scenario

Used when excising a desmoid tumor located in the thoracic region.

Documentation Requirements

Operative report detailing the excision and margins.

Specialty Considerations

Oncologists and surgeons must ensure clear documentation of tumor characteristics.

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 desmoid tumors, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, including desmoid tumors, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neoplasms, including desmoid tumors, which enhances the ability to track and manage these conditions effectively.

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 locally aggressive neoplasm that arises from connective tissue, often associated with trauma or surgery.

How is a desmoid tumor treated?

Treatment options include surgical excision, observation, and pharmacological therapies, depending on the tumor's behavior and location.

What are the risks associated with desmoid tumors?

While desmoid tumors are benign, they can be locally aggressive and have a tendency to recur, necessitating careful monitoring.