Benign lipomatous neoplasm
Chapter 2:Neoplasms
ICD-10 D17 is a billable code used to indicate a diagnosis of benign lipomatous neoplasm.
Benign lipomatous neoplasms are tumors composed predominantly of adipose (fat) tissue. These neoplasms can occur in various locations throughout the body, including subcutaneous tissues, muscles, and internal organs. They are typically soft, mobile, and painless, often presenting as palpable masses. While most lipomas are asymptomatic and do not require treatment, some may cause discomfort or functional impairment depending on their size and location. Diagnosis is usually made through clinical examination and imaging studies, such as ultrasound or MRI, which help to differentiate them from malignant tumors. Surgical excision is the most common treatment for symptomatic lipomas or those that are cosmetically concerning. Surveillance is generally not required for benign lipomatous neoplasms unless there are changes in size or symptoms, which may warrant further evaluation to rule out malignancy. Overall, the malignant potential of benign lipomatous neoplasms is extremely low, but awareness of atypical presentations is essential for accurate diagnosis and management.
Detailed operative notes including size, location, and histopathology of the excised lipoma.
Surgical removal of symptomatic lipomas or those causing cosmetic concerns.
Ensure clear documentation of the benign nature to avoid misclassification.
Clinical notes detailing the appearance, size, and any changes in the lipoma.
Evaluation of subcutaneous lipomas during routine skin examinations.
Document any patient-reported symptoms or concerns regarding the lipoma.
Used when excising a lipoma from the skin.
Operative report detailing the procedure and pathology report confirming benign nature.
Ensure the excision is documented as for a benign lesion.
A lipoma is a benign tumor made up of fat cells, typically soft and painless, while malignant tumors are cancerous and can invade surrounding tissues and metastasize.