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ICD-10 Guide
ICD-10 CodesD20.1

D20.1

Billable

Benign neoplasm of soft tissue of peritoneum

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

Code Description

ICD-10 D20.1 is a billable code used to indicate a diagnosis of benign neoplasm of soft tissue of peritoneum.

Key Diagnostic Point:

Benign neoplasms of the soft tissue of the peritoneum are non-cancerous tumors that arise from the connective tissues within the peritoneal cavity. These tumors can originate from various types of soft tissue, including fibrous tissue, adipose tissue, and vascular tissue. Clinically, they may present as asymptomatic masses or cause symptoms due to their size or location, such as abdominal pain, discomfort, or obstruction of adjacent structures. Diagnosis typically involves imaging studies such as ultrasound or CT scans, and histological examination may be required for definitive diagnosis. Management often includes surgical excision, especially if the neoplasm is symptomatic or shows signs of growth. Follow-up care is essential to monitor for recurrence, particularly in cases where complete excision is not feasible. Regular imaging and clinical evaluations are recommended to ensure that any changes in the neoplasm's characteristics are promptly addressed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant neoplasms
  • Variability in presentation and symptoms
  • Need for histological confirmation in some cases
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of the tumor's characteristics
  • Failure to document the surgical procedure performed
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Surgical Oncology

Documentation Requirements

Detailed operative reports, pathology reports, and imaging studies.

Common Clinical Scenarios

Surgical excision of a benign peritoneal neoplasm presenting with abdominal pain.

Billing Considerations

Ensure clear documentation of the tumor's size, location, and histological findings.

Gastroenterology

Documentation Requirements

Endoscopic findings, imaging results, and clinical notes.

Common Clinical Scenarios

Evaluation of abdominal masses found incidentally during imaging for other conditions.

Billing Considerations

Document any symptoms related to the neoplasm and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use D20.1 When
  • According to ICD
  • 10 coding guidelines, D20
  • 1 should be used when a benign neoplasm of soft tissue of the peritoneum is confirmed through imaging or histological examination
  • It is important to document the specific type of neoplasm and any relevant clinical findings

Exclusion Criteria

Do NOT use D20.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

49320CPT Code

Laparoscopy, surgical, abdominal cavity exploration

Clinical Scenario

Used during the surgical excision of a benign neoplasm of the peritoneum.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Surgical oncology should ensure all findings are documented for accurate coding.

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. D20.1 provides a clear distinction from malignant neoplasms, which is crucial for treatment and 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. D20.1 provides a clear distinction from malignant neoplasms, which is crucial for treatment and management.

Reimbursement & Billing Impact

reimbursement processes. D20.1 provides a clear distinction from malignant neoplasms, which is crucial for treatment and 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 is the primary treatment for a benign neoplasm of the peritoneum?

The primary treatment is surgical excision, especially if the neoplasm is symptomatic or shows signs of growth.