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v1.0.0
ICD-10 Guide
ICD-10 CodesC74.92

C74.92

Billable

Malignant neoplasm of unspecified part of left adrenal gland

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

Code Description

ICD-10 C74.92 is a billable code used to indicate a diagnosis of malignant neoplasm of unspecified part of left adrenal gland.

Key Diagnostic Point:

C74.92 refers to a malignant neoplasm located in the left adrenal gland, which is responsible for producing hormones such as cortisol, aldosterone, and adrenaline. These hormones play crucial roles in regulating metabolism, blood pressure, and the body's response to stress. Malignant tumors in the adrenal gland can disrupt normal hormone production, leading to various metabolic disorders and endocrine dysfunctions. Symptoms may include hypertension, weight gain, and abnormal glucose metabolism. Diagnosis typically involves imaging studies such as CT or MRI scans, along with biochemical tests to assess hormone levels. Treatment often includes surgical resection of the tumor, and in some cases, adjunctive therapies such as chemotherapy or radiation may be necessary. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking outcomes in patients with adrenal malignancies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor presentation and hormone secretion
  • Need for precise localization of the tumor within the adrenal gland
  • Potential for overlapping symptoms with other endocrine disorders
  • Requirement for comprehensive documentation of imaging and lab results

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to document hormone levels and related symptoms
  • Misclassification of benign versus malignant tumors
  • Lack of imaging studies to support diagnosis

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormone level assessments, imaging results, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with symptoms of Cushing's syndrome or adrenal insufficiency.

Billing Considerations

Ensure comprehensive documentation of all endocrine evaluations and treatment plans.

Oncology

Documentation Requirements

Pathology reports, imaging studies, and treatment plans including surgical and non-surgical interventions.

Common Clinical Scenarios

Patients undergoing evaluation for adrenal tumors or receiving treatment for adrenal cancer.

Billing Considerations

Document staging and grading of the tumor, as well as any metastasis.

Coding Guidelines

Inclusion Criteria

Use C74.92 When
  • Follow official ICD
  • CM guidelines for coding neoplasms, ensuring accurate documentation of the tumor's location and characteristics
  • Include any relevant co
  • morbidities and complications

Exclusion Criteria

Do NOT use C74.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

CPT 60540CPT Code

Adrenalectomy, open, for removal of adrenal gland

Clinical Scenario

Used when a malignant adrenal tumor is surgically removed.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Endocrinologists and oncologists should ensure accurate coding based on surgical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of adrenal malignancies, improving the accuracy of data collection and reimbursement processes. C74.92 provides a clear designation for malignant neoplasms, facilitating better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of adrenal malignancies, improving the accuracy of data collection and reimbursement processes. C74.92 provides a clear designation for malignant neoplasms, facilitating better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. C74.92 provides a clear designation for malignant neoplasms, facilitating better tracking of treatment outcomes and resource allocation.

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 are the common symptoms associated with malignant neoplasms of the adrenal gland?

Common symptoms include hypertension, weight gain, abnormal glucose metabolism, and signs of hormonal excess such as Cushing's syndrome or hyperaldosteronism.