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v1.0.0
ICD-10 Guide
ICD-10 CodesD48.119

D48.119

Billable

Desmoid tumor of unspecified site

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

Code Description

ICD-10 D48.119 is a billable code used to indicate a diagnosis of desmoid tumor of unspecified site.

Key Diagnostic Point:

Desmoid tumors, also known as aggressive fibromatosis, are benign neoplasms that arise from the connective tissue and are characterized by their infiltrative growth pattern. These tumors can occur in various anatomical locations, including the abdominal wall, limbs, and trunk, but when coded as D48.119, the specific site is not identified. Although classified as benign, desmoid tumors can exhibit aggressive behavior, leading to local recurrence and significant morbidity. They are often associated with familial adenomatous polyposis (FAP) syndrome, but can also occur sporadically. Diagnosis typically involves imaging studies such as MRI or CT scans, and histological examination confirms the diagnosis. Treatment options may include surgical excision, observation, or pharmacological interventions such as nonsteroidal anti-inflammatory drugs (NSAIDs) or hormonal therapies. Due to their uncertain behavior, ongoing surveillance is crucial to monitor for potential progression or recurrence, making accurate coding essential for appropriate management and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Uncertainty in behavior classification
  • Variability in tumor location and presentation
  • Need for detailed documentation of clinical findings
  • Potential for recurrence requiring ongoing surveillance

Audit Risk Factors

  • Inadequate documentation of tumor behavior
  • Failure to specify the site of the tumor
  • Misclassification as malignant
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Management of desmoid tumors post-surgery, monitoring for recurrence.

Billing Considerations

Ensure clear documentation of tumor behavior and treatment response.

Surgery

Documentation Requirements

Operative reports detailing excision and margins.

Common Clinical Scenarios

Surgical intervention for desmoid tumors in various locations.

Billing Considerations

Document the extent of resection and any complications.

Coding Guidelines

Inclusion Criteria

Use D48.119 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's behavior and site
  • 119 is used when the site is unspecified, and it is essential to document any relevant clinical findings

Exclusion Criteria

Do NOT use D48.119 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

19120CPT Code

Excision, tumor, soft tissue of neck or thorax

Clinical Scenario

Used when excising a desmoid tumor from the thoracic region.

Documentation Requirements

Operative report detailing the excision and margins.

Specialty Considerations

Ensure clear documentation of tumor characteristics and surgical approach.

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 desmoid tumors, which aids in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neoplasms, including desmoid tumors, which aids in better tracking and management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of neoplasms, including desmoid tumors, which aids in better tracking and management of these conditions.

Resources

Clinical References

  • •
    American Cancer Society - Desmoid Tumors

Coding & Billing References

  • •
    American Cancer Society - Desmoid Tumors

Frequently Asked Questions

What is a desmoid tumor?

A desmoid tumor is a benign but aggressive neoplasm that arises from connective tissue, characterized by infiltrative growth and potential for local recurrence.

How is a desmoid tumor treated?

Treatment options include surgical excision, observation, and pharmacological therapies such as NSAIDs or hormonal treatments, depending on the tumor's size and location.