Neoplasm of uncertain behavior of meninges
Chapter 2:Neoplasms
ICD-10 D42 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of meninges.
Neoplasms of uncertain behavior of the meninges are tumors that arise from the protective membranes covering the brain and spinal cord. These neoplasms are classified as having uncertain behavior due to their ambiguous histological characteristics, which do not clearly indicate whether they are benign or malignant. Clinically, they may present with symptoms such as headaches, seizures, or neurological deficits, depending on their size and location. Imaging studies, particularly MRI, are crucial for diagnosis, as they help delineate the tumor's extent and its relationship to surrounding structures. The management of these neoplasms often involves a multidisciplinary approach, including neurosurgery, oncology, and radiation therapy, particularly if there is a concern for progression to malignancy. Regular surveillance through imaging and clinical evaluation is essential to monitor for any changes in behavior or growth, which may necessitate intervention. The prognosis can vary significantly based on the tumor's characteristics and the patient's overall health.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with headaches, seizures, or neurological deficits.
Ensure clear documentation of symptoms and imaging findings to support the diagnosis.
Operative reports, pathology results, and follow-up care notes.
Surgical intervention for symptomatic neoplasms or those with concerning imaging findings.
Document the rationale for surgical intervention and any histological findings post-surgery.
Used when surgical intervention is required for a meningeal neoplasm.
Operative report detailing the procedure and findings.
Neurosurgeons must document the rationale for surgery and any histological findings.
Coding D42 is significant as it indicates a neoplasm of uncertain behavior, which requires careful monitoring and management due to its potential for progression. Accurate coding ensures appropriate treatment and follow-up.
