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ICD-10 Guide
ICD-10 CodesD27.9

D27.9

Billable

Benign neoplasm of unspecified ovary

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

Code Description

ICD-10 D27.9 is a billable code used to indicate a diagnosis of benign neoplasm of unspecified ovary.

Key Diagnostic Point:

A benign neoplasm of the ovary refers to a non-cancerous tumor that arises from the ovarian tissue. These tumors can vary in size and may be asymptomatic or cause symptoms such as abdominal pain, bloating, or changes in menstrual cycles. Common types of benign ovarian neoplasms include cystadenomas, dermoid cysts, and fibromas. Diagnosis typically involves imaging studies such as ultrasound or MRI, and in some cases, a biopsy may be performed to confirm the benign nature of the tumor. Management often includes monitoring the tumor for changes in size or symptoms, and surgical intervention may be necessary if the neoplasm causes significant discomfort or complications. Follow-up care is essential to ensure that the neoplasm remains benign and to monitor for any potential changes that could indicate malignancy. Regular gynecological examinations and imaging studies are recommended for ongoing assessment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for imaging studies to confirm diagnosis
  • Differentiation from malignant ovarian tumors
  • Potential for surgical intervention

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to document imaging studies or results
  • Lack of follow-up notes or management plans
  • Misclassification of benign neoplasm as malignant

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed clinical notes including symptoms, imaging results, and management plans.

Common Clinical Scenarios

Patients presenting with abdominal pain, incidental findings on imaging, or routine gynecological exams.

Billing Considerations

Ensure clear documentation of the benign nature of the neoplasm and any follow-up care.

Radiology

Documentation Requirements

Imaging reports must clearly indicate the findings and any recommendations for follow-up.

Common Clinical Scenarios

Ultrasound findings of ovarian masses and subsequent imaging studies.

Billing Considerations

Radiologists should provide clear descriptions to assist in accurate coding.

Coding Guidelines

Inclusion Criteria

Use D27.9 When
  • According to ICD
  • 10 coding guidelines, D27
  • 9 should be used when the specific site of the benign neoplasm is not documented
  • Coders should ensure that the diagnosis is confirmed through appropriate clinical documentation and imaging studies

Exclusion Criteria

Do NOT use D27.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58661CPT Code

Laparoscopic excision of ovarian cyst

Clinical Scenario

Used when a benign ovarian neoplasm requires surgical intervention.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Gynecologists should ensure accurate coding of the procedure based on 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 patient records and facilitating better management 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 patient records and facilitating better management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of patient records and facilitating better management 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 ovarian neoplasms?

Benign ovarian 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 diagnosis through imaging and clinical evaluation is essential for appropriate management.