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v1.0.0
ICD-10 Guide
ICD-10 CodesD11.0

D11.0

Billable

Benign neoplasm of parotid gland

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

Code Description

ICD-10 D11.0 is a billable code used to indicate a diagnosis of benign neoplasm of parotid gland.

Key Diagnostic Point:

Benign neoplasms of the parotid gland are non-cancerous tumors that arise from the tissues of the parotid gland, which is the largest of the salivary glands located near the jaw and in front of the ears. These neoplasms can present as painless swellings or masses in the region of the gland and may vary in size. The most common types of benign tumors found in the parotid gland include pleomorphic adenomas, Warthin tumors, and basal cell adenomas. While these tumors are generally not life-threatening, they can cause discomfort, cosmetic concerns, and potential complications if they grow large enough to compress surrounding structures. Surveillance is essential for these tumors, as there is a small risk of malignant transformation, particularly with long-standing lesions. Regular monitoring through imaging studies and clinical evaluations is recommended to assess any changes in size or characteristics of the neoplasm. Surgical excision is often the treatment of choice, especially if there is any concern regarding malignancy or if the tumor causes symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Variability in tumor types and their characteristics
  • Need for accurate documentation of tumor size and location
  • Potential for malignant transformation requiring careful monitoring

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to note the size and location of the neoplasm
  • Lack of follow-up documentation for surveillance
  • Misclassification of benign neoplasm as malignant

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed descriptions of the tumor's characteristics, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with a palpable mass in the parotid region, imaging studies showing a well-defined mass.

Billing Considerations

Ensure that the documentation clearly distinguishes between benign and malignant findings.

Pathology

Documentation Requirements

Histopathological reports confirming the benign nature of the neoplasm.

Common Clinical Scenarios

Reviewing biopsy specimens from patients with suspected parotid tumors.

Billing Considerations

Accurate coding based on histological findings is crucial for proper billing.

Coding Guidelines

Inclusion Criteria

Use D11.0 When
  • According to the ICD
  • CM coding guidelines, D11
  • 0 should be used for benign neoplasms specifically located in the parotid gland
  • It is important to document the specific type of neoplasm when possible, as this may affect treatment and follow

Exclusion Criteria

Do NOT use D11.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

42415CPT Code

Excision of parotid gland tumor

Clinical Scenario

Used when a patient undergoes surgical removal of a benign parotid tumor.

Documentation Requirements

Operative report detailing the procedure, findings, and pathology results.

Specialty Considerations

Otolaryngologists must ensure accurate coding based on the type of tumor excised.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D11.0 provides a clear distinction from malignant conditions, which is crucial for treatment planning and patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D11.0 provides a clear distinction from malignant conditions, which is crucial for treatment planning and patient management.

Reimbursement & Billing Impact

reimbursement processes. D11.0 provides a clear distinction from malignant conditions, which is crucial for treatment planning and patient management.

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 types of benign neoplasms of the parotid gland?

The most common types include pleomorphic adenomas, Warthin tumors, and basal cell adenomas. Each type has distinct characteristics and may require different management approaches.