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ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsD29

D29

Billable

Benign neoplasm of male genital organs

Chapter 2:Neoplasms

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

Code Description

ICD-10 D29 is a billable code used to indicate a diagnosis of benign neoplasm of male genital organs.

Key Diagnostic Point:

Benign neoplasms of the male genital organs encompass a variety of non-cancerous tumors that can occur in structures such as the prostate, testicles, and penis. These neoplasms may present as palpable masses or be discovered incidentally during imaging or surgical procedures. Common types include benign prostatic hyperplasia (BPH), testicular tumors (such as Leydig cell tumors), and penile lesions (such as penile fibromas). Symptoms may vary depending on the location and size of the neoplasm, with BPH often leading to urinary symptoms such as frequency, urgency, and difficulty urinating. Diagnosis typically involves imaging studies, such as ultrasound or MRI, and may require biopsy for definitive characterization. Management strategies can range from watchful waiting to surgical intervention, depending on the symptoms and the specific type of neoplasm. Regular follow-up is essential to monitor for any changes in size or symptoms, ensuring timely intervention if necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms with different characteristics
  • Potential for overlapping symptoms with malignant conditions
  • Need for precise documentation of tumor type and location
  • Variability in management approaches based on patient symptoms

Audit Risk Factors

  • Inadequate documentation of tumor type and characteristics
  • Misclassification of benign neoplasms as malignant
  • Failure to document the management plan or follow-up
  • Inconsistent coding of symptoms associated with neoplasms

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed descriptions of the neoplasm, including size, location, and any associated symptoms.

Common Clinical Scenarios

Evaluation of patients with urinary symptoms, incidental findings on imaging, or palpable masses.

Billing Considerations

Ensure accurate coding based on biopsy results and imaging findings.

Oncology

Documentation Requirements

Comprehensive reports on tumor characteristics and treatment plans.

Common Clinical Scenarios

Management of patients with benign tumors that may require surgical intervention.

Billing Considerations

Differentiation from malignant tumors is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use D29 When
  • Follow official coding guidelines for benign neoplasms, ensuring accurate documentation of the tumor's characteristics
  • Include any relevant symptoms and management plans

Exclusion Criteria

Do NOT use D29 When
  • Exclude malignant conditions and ensure that the neoplasm is confirmed as benign through appropriate diagnostic measures

Related CPT Codes

55810CPT Code

Transurethral resection of the prostate (TURP)

Clinical Scenario

Used for symptomatic BPH management.

Documentation Requirements

Document indications for surgery and pre-operative evaluations.

Specialty Considerations

Urology specialists should ensure accurate coding based on the procedure performed.

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. This specificity aids in better tracking of treatment outcomes and resource utilization.

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. This specificity aids in better tracking of treatment outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource utilization.

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.