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ICD-10 Guide
ICD-10 CodesC75.2

C75.2

Billable

Malignant neoplasm of craniopharyngeal duct

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

Code Description

ICD-10 C75.2 is a billable code used to indicate a diagnosis of malignant neoplasm of craniopharyngeal duct.

Key Diagnostic Point:

C75.2 refers to a malignant neoplasm originating from the craniopharyngeal duct, which is a remnant of the embryonic development of the pituitary gland. This type of tumor is classified as an endocrine malignancy and can disrupt normal hormone production and regulation. The craniopharyngeal duct is located in the midline of the brain, and tumors in this area can lead to various endocrine dysfunctions due to their proximity to the pituitary gland and hypothalamus. Symptoms may include headaches, visual disturbances, and signs of hormonal imbalance such as growth retardation in children or hyperprolactinemia. Diagnosis typically involves imaging studies such as MRI or CT scans, followed by histopathological examination to confirm malignancy. Treatment options may include surgical resection, radiation therapy, and hormone replacement therapy, depending on the extent of the disease and the patient's overall health. Given the complex interplay between the tumor and the endocrine system, careful monitoring of hormone levels is essential during and after treatment.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of endocrine system and hormone functions.
  • Differentiation from benign craniopharyngiomas.
  • Potential for multiple hormone deficiencies.
  • Need for detailed documentation of symptoms and treatment plans.

Audit Risk Factors

  • Inadequate documentation of hormone levels and endocrine evaluations.
  • Failure to specify the malignancy's impact on hormone function.
  • Misclassification of tumor type (benign vs malignant).
  • Lack of detailed treatment plans in medical records.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of hormone levels, symptoms, and treatment responses.

Common Clinical Scenarios

Management of hormonal imbalances post-tumor treatment.

Billing Considerations

Endocrinologists must monitor for long-term endocrine dysfunctions.

Neurosurgery

Documentation Requirements

Detailed operative reports and post-operative follow-up notes.

Common Clinical Scenarios

Surgical resection of the tumor and management of complications.

Billing Considerations

Neurosurgeons must document the extent of resection and any complications affecting endocrine function.

Coding Guidelines

Inclusion Criteria

Use C75.2 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the malignancy's impact on endocrine function
  • Include any relevant symptoms and treatment plans
  • Ensure compliance with inclusion criteria for malignant neoplasms

Exclusion Criteria

Do NOT use C75.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

61548CPT Code

Transsphenoidal resection of pituitary tumor

Clinical Scenario

Used during surgical intervention for C75.2.

Documentation Requirements

Operative report detailing the extent of resection.

Specialty Considerations

Neurosurgeons must document any complications affecting endocrine function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes for conditions like C75.2.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes for conditions like C75.2.

Reimbursement & Billing Impact

reimbursement processes for conditions like C75.2.

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 C75.2?

Common symptoms include headaches, visual disturbances, and signs of hormonal imbalances such as growth retardation or hyperprolactinemia.

How is C75.2 diagnosed?

Diagnosis typically involves imaging studies like MRI or CT scans, followed by histopathological examination to confirm malignancy.

What treatment options are available for C75.2?

Treatment may include surgical resection, radiation therapy, and hormone replacement therapy, depending on the extent of the disease.