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ICD-10 Guide
ICD-10 CodesD14.31

D14.31

Billable

Benign neoplasm of right bronchus and lung

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

Code Description

ICD-10 D14.31 is a billable code used to indicate a diagnosis of benign neoplasm of right bronchus and lung.

Key Diagnostic Point:

D14.31 refers to a benign neoplasm located in the right bronchus and lung. These neoplasms are non-cancerous growths that can arise from various types of lung tissue, including epithelial cells, connective tissue, and muscle. Common types of benign lung neoplasms include hamartomas, adenomas, and lipomas. Although benign, these neoplasms can cause symptoms such as cough, hemoptysis, or obstructive pneumonia due to their location and size. Diagnosis typically involves imaging studies like chest X-rays or CT scans, followed by biopsy for definitive diagnosis. Surveillance is essential, as some benign neoplasms may exhibit growth or change over time, necessitating regular follow-up imaging to monitor for any signs of malignant transformation. While the risk of malignancy is generally low, certain types of benign neoplasms, particularly those with atypical features, may warrant closer observation and potential surgical intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between benign and malignant neoplasms
  • Need for precise documentation of location and type of neoplasm
  • Potential for overlapping symptoms with malignant conditions
  • Variability in clinical presentation and imaging findings

Audit Risk Factors

  • Inadequate documentation of the neoplasm's characteristics
  • Failure to document follow-up imaging or surveillance plans
  • Misclassification of benign neoplasms as malignant
  • Lack of clarity on the clinical significance of the neoplasm

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed imaging reports, biopsy results, and clinical notes on symptoms and follow-up plans.

Common Clinical Scenarios

Patients presenting with cough, hemoptysis, or incidental findings on imaging.

Billing Considerations

Ensure clear documentation of the neoplasm's characteristics and any changes over time.

Oncology

Documentation Requirements

Comprehensive pathology reports and treatment plans, including any surgical interventions.

Common Clinical Scenarios

Patients with a history of benign neoplasms undergoing surveillance for potential malignancy.

Billing Considerations

Focus on distinguishing benign from malignant features in pathology reports.

Coding Guidelines

Inclusion Criteria

Use D14.31 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the neoplasm's location and characteristics
  • Include any relevant imaging or biopsy results to support the diagnosis

Exclusion Criteria

Do NOT use D14.31 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31628CPT Code

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed

Clinical Scenario

Used for diagnostic evaluation of suspected lung neoplasms.

Documentation Requirements

Document indications for bronchoscopy and findings.

Specialty Considerations

Pulmonologists should ensure clear documentation of the procedure and its necessity.

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. D14.31 provides granularity that was not available in ICD-9, facilitating better tracking of these conditions.

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. D14.31 provides granularity that was not available in ICD-9, facilitating better tracking of these conditions.

Reimbursement & Billing Impact

reimbursement processes. D14.31 provides granularity that was not available in ICD-9, facilitating better tracking of these conditions.

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 neoplasms?

Benign 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.