Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder
ICD-10 D21.11 is a billable code used to indicate a diagnosis of benign neoplasm of connective and other soft tissue of right upper limb, including shoulder.
D21.11 refers to a benign neoplasm located in the connective and other soft tissues of the right upper limb, which encompasses the shoulder area. These neoplasms can arise from various types of soft tissue, including adipose tissue, fibrous tissue, and vascular tissue. Common types of benign soft tissue tumors include lipomas, fibromas, and hemangiomas. Clinically, these tumors may present as painless masses that can be palpated during a physical examination. While benign, they can cause discomfort or functional impairment depending on their size and location. Diagnosis typically involves imaging studies such as ultrasound or MRI, and histological examination may be required for definitive diagnosis. Management often involves surgical excision, especially if the tumor is symptomatic or growing. Follow-up care is essential to monitor for recurrence, although benign neoplasms generally have a low rate of recurrence post-excision. The prognosis is typically excellent, with most patients experiencing complete resolution of symptoms following appropriate treatment.
Detailed pathology reports and imaging studies must be included.
Patients presenting with soft tissue masses requiring biopsy or excision.
Ensure clear differentiation between benign and malignant neoplasms in documentation.
Surgical notes detailing the procedure and findings.
Surgical excision of soft tissue tumors in the upper limb.
Document functional impairment and any associated symptoms to justify surgical intervention.
Used when excising a benign neoplasm from the right upper limb.
Operative report detailing the size, location, and type of lesion excised.
Orthopedic surgeons should document functional impairment related to the lesion.
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. Accurate coding requires clear documentation to differentiate between the two.
