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ICD-10 Guide
ICD-10 CodesD48.2

D48.2

Billable

Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system

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

Code Description

ICD-10 D48.2 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system.

Key Diagnostic Point:

D48.2 refers to neoplasms that arise from peripheral nerves and the autonomic nervous system, characterized by uncertain behavior. These neoplasms can be benign or malignant, but their exact nature may not be immediately clear upon diagnosis. Clinically, these tumors may present with symptoms such as pain, numbness, or weakness in the affected area, depending on their location and size. Diagnostic imaging, such as MRI or CT scans, is often employed to assess the extent of the neoplasm. Biopsy may be necessary to determine the histological characteristics of the tumor. Due to the uncertain behavior of these neoplasms, careful surveillance is essential, as there is a potential for progression to malignancy. Regular follow-up appointments and imaging studies may be required to monitor changes in the tumor's size or characteristics over time. The management of these neoplasms often involves a multidisciplinary approach, including surgical intervention, radiation therapy, or observation, depending on the tumor's behavior and the patient's overall health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant behavior
  • Need for detailed documentation of symptoms and imaging results
  • Potential for multiple treatment modalities
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of tumor behavior
  • Failure to document follow-up care and surveillance
  • Misclassification of benign versus malignant neoplasms
  • Lack of clarity in imaging reports

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 newly diagnosed peripheral nerve tumor requiring biopsy and treatment planning.

Billing Considerations

Oncologists must ensure that the behavior of the neoplasm is clearly documented to guide treatment and follow-up.

Neurology

Documentation Requirements

Neurological examinations, symptom descriptions, and imaging findings are critical.

Common Clinical Scenarios

Patients with neurological symptoms such as pain or weakness due to a peripheral nerve neoplasm.

Billing Considerations

Neurologists should document the functional impact of the neoplasm on the patient's daily activities.

Coding Guidelines

Inclusion Criteria

Use D48.2 When
  • According to ICD
  • 10 coding guidelines, D48
  • 2 should be used when the neoplasm's behavior is uncertain and cannot be classified as benign or malignant
  • Coders must ensure that all relevant clinical information is documented to support the use of this code

Exclusion Criteria

Do NOT use D48.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used when a biopsy is performed to determine the nature of the neoplasm.

Documentation Requirements

Pathology report must be included in the patient's medical record.

Specialty Considerations

Oncologists and pathologists must collaborate to ensure accurate diagnosis.

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. This specificity aids in better tracking and management of these conditions, improving patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. This specificity aids in better tracking and management of these conditions, improving patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. This specificity aids in better tracking and management of these conditions, improving patient care and outcomes.

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 initial evaluation, requiring further investigation and monitoring.