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v1.0.0
ICD-10 Guide
ICD-10 CodesD41.0

D41.0

Billable

Neoplasm of uncertain behavior of kidney

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

Code Description

ICD-10 D41.0 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of kidney.

Key Diagnostic Point:

Neoplasms of uncertain behavior of the kidney are tumors that do not fit neatly into benign or malignant categories. These neoplasms may exhibit atypical cellular characteristics, making it challenging to predict their clinical behavior. They can arise from various kidney tissues, including renal parenchyma or the renal pelvis. The diagnosis often follows imaging studies or incidental findings during procedures for other conditions. Surveillance is crucial, as these neoplasms may progress to malignancy or remain stable over time. Regular monitoring through imaging and clinical evaluations is recommended to assess any changes in size or characteristics. The management of these neoplasms often involves a multidisciplinary approach, including urologists, oncologists, and pathologists, to determine the best course of action based on the tumor's behavior and patient factors. Understanding the potential for progression is essential for patient counseling and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor behavior and characteristics
  • Need for comprehensive documentation of imaging and pathology results
  • Differentiation from benign and malignant neoplasms
  • Potential for progression requiring ongoing surveillance

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to document surveillance plans
  • Misclassification of neoplasm behavior
  • Lack of follow-up notes on tumor progression

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed imaging reports, pathology findings, and treatment plans.

Common Clinical Scenarios

Incidental findings on imaging, follow-up of previously diagnosed neoplasms.

Billing Considerations

Ensure clear documentation of tumor behavior and any changes over time.

Oncology

Documentation Requirements

Comprehensive treatment history, response to therapy, and follow-up evaluations.

Common Clinical Scenarios

Management of neoplasms with uncertain behavior and potential malignancy.

Billing Considerations

Collaboration with pathology for accurate tumor classification.

Coding Guidelines

Inclusion Criteria

Use D41.0 When
  • According to ICD
  • 10 guidelines, D41
  • 0 should be used when the neoplasm's behavior is uncertain and cannot be classified as benign or malignant
  • Documentation must support the diagnosis and include any relevant imaging or pathology results

Exclusion Criteria

Do NOT use D41.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used when a biopsy is performed to assess the neoplasm's behavior.

Documentation Requirements

Pathology report must clearly indicate the findings and behavior of the neoplasm.

Specialty Considerations

Urologists and oncologists should ensure accurate pathology documentation.

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, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neoplasms, including those of uncertain behavior, improving the accuracy of patient records and treatment plans.

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 significance of coding D41.0?

Coding D41.0 indicates that the neoplasm's behavior is uncertain, which is crucial for appropriate surveillance and management strategies.