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v1.0.0
ICD-10 Guide
ICD-10 CodesD14.0

D14.0

Billable

Benign neoplasm of middle ear, nasal cavity and accessory sinuses

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

Code Description

ICD-10 D14.0 is a billable code used to indicate a diagnosis of benign neoplasm of middle ear, nasal cavity and accessory sinuses.

Key Diagnostic Point:

Benign neoplasms of the middle ear, nasal cavity, and accessory sinuses are non-cancerous growths that can arise from various tissues in these regions. These neoplasms may include conditions such as adenomas, papillomas, and other benign tumors. Clinically, they can present with symptoms such as nasal obstruction, epistaxis (nosebleeds), hearing loss, or facial pain, depending on their size and location. Diagnosis typically involves imaging studies such as CT or MRI scans, and may require biopsy for definitive identification. While benign, these neoplasms can cause significant morbidity due to their location and potential to obstruct normal anatomical structures. Surveillance is often recommended to monitor for any changes in size or symptoms, as some benign tumors may have a low potential for malignant transformation, necessitating careful follow-up. Treatment options may include surgical excision, especially if the neoplasm is symptomatic or shows signs of growth.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms that can be coded under this category
  • Need for precise documentation of tumor type and location
  • Potential for overlap with malignant neoplasms in clinical presentation
  • Variability in treatment approaches and follow-up protocols

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed descriptions of the neoplasm, including size, location, and symptoms.

Common Clinical Scenarios

Patients presenting with nasal obstruction or hearing loss due to a benign tumor.

Billing Considerations

Ensure that imaging and pathology reports are included in the documentation to support the diagnosis.

Radiology

Documentation Requirements

Clear imaging reports indicating the presence and characteristics of the neoplasm.

Common Clinical Scenarios

Imaging studies performed for patients with suspected benign neoplasms in the nasal cavity or sinuses.

Billing Considerations

Radiologists should provide detailed descriptions of findings to aid in accurate coding.

Coding Guidelines

Inclusion Criteria

Use D14.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant imaging or pathology reports to substantiate the diagnosis of a benign neoplasm

Exclusion Criteria

Do NOT use D14.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31255CPT Code

Nasal endoscopy, diagnostic, with or without collection of specimen(s) by brushing or washing

Clinical Scenario

Used when evaluating a patient with suspected benign neoplasm in the nasal cavity.

Documentation Requirements

Document the findings of the endoscopy and any specimens collected.

Specialty Considerations

Otolaryngologists should ensure that the procedure is clearly linked to the diagnosis.

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. This specificity aids in 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 benign neoplasms, improving the accuracy of data collection and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in 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 of benign neoplasms in the nasal cavity?

Common symptoms include nasal obstruction, epistaxis, facial pain, and in some cases, hearing loss if the middle ear is involved.