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ICD-10 Guide
ICD-10 CodesD39.2

D39.2

Billable

Neoplasm of uncertain behavior of placenta

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

Code Description

ICD-10 D39.2 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of placenta.

Key Diagnostic Point:

D39.2 refers to a neoplasm of uncertain behavior specifically located in the placenta. These neoplasms are characterized by their ambiguous histological features, which do not clearly indicate whether they are benign or malignant. The clinical implications of such neoplasms can be significant, as they may exhibit unpredictable behavior, including the potential for local invasion or metastasis. Diagnosis typically involves imaging studies and histopathological examination, which may reveal atypical cellular features. Surveillance is crucial, as these neoplasms can progress over time, necessitating close monitoring of the patient’s condition. Management strategies may vary based on the neoplasm's characteristics and the patient's overall health, with options ranging from observation to surgical intervention. The uncertainty surrounding these neoplasms underscores the importance of multidisciplinary care, involving obstetricians, oncologists, and pathologists to ensure comprehensive management and timely intervention if necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in histological classification
  • Need for multidisciplinary collaboration
  • Variability in clinical presentation
  • Potential for progression requiring ongoing surveillance

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of neoplasm
  • Lack of follow-up documentation
  • Misclassification of benign vs. malignant behavior

Specialty Focus

Medical Specialties

Obstetrics/Gynecology

Documentation Requirements

Detailed documentation of imaging studies, pathology reports, and clinical findings related to the neoplasm.

Common Clinical Scenarios

Encountering patients with abnormal placental findings during routine ultrasounds or during evaluation for abnormal bleeding.

Billing Considerations

Ensure clear communication of the neoplasm's behavior and any follow-up plans to avoid misinterpretation.

Oncology

Documentation Requirements

Comprehensive documentation of treatment plans, follow-up care, and any multidisciplinary consultations.

Common Clinical Scenarios

Management of patients with diagnosed placental neoplasms requiring further evaluation or treatment.

Billing Considerations

Collaboration with obstetricians for coordinated care and accurate coding of procedures.

Coding Guidelines

Inclusion Criteria

Use D39.2 When
  • According to ICD
  • 10 coding guidelines, D39
  • 2 should be used when the neoplasm's behavior is uncertain and specifically involves the placenta
  • Coders should ensure that the diagnosis is supported by appropriate clinical documentation and imaging studies

Exclusion Criteria

Do NOT use D39.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of placental tissue

Clinical Scenario

Used when a biopsy of the placental mass is performed to determine the nature of the neoplasm.

Documentation Requirements

Pathology report detailing the findings and diagnosis.

Specialty Considerations

Ensure that the pathology report is linked to the diagnosis 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 neoplasms, including those of uncertain behavior. This specificity aids in better tracking and management of these conditions, improving patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. This specificity aids in better tracking and management of these conditions, improving patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior. This specificity aids in better tracking and management of these conditions, improving patient care and outcomes.

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 does 'neoplasm of uncertain behavior' mean?

It refers to a growth that cannot be definitively classified as benign or malignant based on histological examination, necessitating careful monitoring and evaluation.