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v1.0.0
ICD-10 Guide
ICD-10 CodesD13.4

D13.4

Billable

Benign neoplasm of liver

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

Code Description

ICD-10 D13.4 is a billable code used to indicate a diagnosis of benign neoplasm of liver.

Key Diagnostic Point:

Benign neoplasms of the liver, such as hepatic adenomas and focal nodular hyperplasia, are non-cancerous tumors that can occur in the liver. These neoplasms are often asymptomatic and discovered incidentally during imaging studies for other conditions. Hepatic adenomas are more common in women, particularly those who use oral contraceptives, while focal nodular hyperplasia is the most common benign liver tumor in adults. Although benign, these neoplasms can sometimes lead to complications such as hemorrhage or, in rare cases, malignant transformation. Regular surveillance through imaging, such as ultrasound or MRI, is recommended to monitor the size and characteristics of the neoplasm. The management of benign liver neoplasms may include observation, surgical resection, or ablation, depending on the size, symptoms, and potential for complications. Understanding the benign nature of these tumors is crucial for appropriate coding and management, as they require different approaches compared to malignant liver tumors.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from malignant liver tumors
  • Need for accurate imaging documentation
  • Potential for complications requiring surgical intervention
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to document the benign nature of the neoplasm
  • Misclassification as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Hepatology

Documentation Requirements

Detailed imaging reports, biopsy results if applicable, and clinical notes on management plans.

Common Clinical Scenarios

Patients presenting with abdominal pain or incidental findings on imaging.

Billing Considerations

Ensure clear documentation of the benign nature and any follow-up plans.

Radiology

Documentation Requirements

Comprehensive imaging reports detailing the characteristics of the neoplasm.

Common Clinical Scenarios

Imaging studies performed for other indications revealing a liver mass.

Billing Considerations

Accurate descriptions of imaging findings are crucial for coding.

Coding Guidelines

Inclusion Criteria

Use D13.4 When
  • Follow the official ICD
  • CM guidelines for coding neoplasms, ensuring to document the benign nature and any relevant imaging or clinical findings
  • Include any relevant history of the patient that may affect management

Exclusion Criteria

Do NOT use D13.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

47563CPT Code

Laparoscopic cholecystectomy with exploration of the common bile duct

Clinical Scenario

Used when a benign liver neoplasm is discovered during gallbladder surgery.

Documentation Requirements

Document findings of the neoplasm during the procedure.

Specialty Considerations

Ensure clear linkage between the diagnosis and the procedure performed.

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.

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.

Reimbursement & Billing Impact

reimbursement processes.

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 is the difference between benign and malignant liver neoplasms?

Benign liver neoplasms are non-cancerous growths that do not invade surrounding tissues or metastasize, while malignant neoplasms are cancerous and can spread to other parts of the body. Accurate coding is essential to reflect the nature of the neoplasm.