ICD-10 Code D13.1 | Benign neoplasm of stomach Symptoms, Diagnosis, Billing

Benign neoplasm of the stomach refers to non-cancerous tumors that can develop in the gastric tissue. These neoplasms may arise from various cell types and can lead to symptoms such as abdominal pain, nausea, or gastrointestinal obstruction. Accurate coding with ICD-10 Code D13.1 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track these conditions.

What is ICD-10 Code D13.1 for Benign neoplasm of stomach?

ICD-10 Code D13.1 specifically represents a benign neoplasm located in the stomach. This code is utilized when documenting cases of non-malignant tumors that may cause symptoms or complications. It is important to use this code in clinical documentation and billing to ensure accurate representation of the patient's condition and to facilitate appropriate treatment and follow-up.

ICD-10 Code D13.1 – Clinical Definition and Explanation of Benign neoplasm of stomach

Benign neoplasms of the stomach can arise from various tissues, including epithelial and connective tissues. While these tumors are non-cancerous, they can lead to significant clinical issues, including obstruction or discomfort, necessitating medical evaluation and intervention.

Key Clinical Features:

• May present with abdominal pain or discomfort.
• Can cause gastrointestinal obstruction or bleeding.
• Typically diagnosed through imaging studies or endoscopy.
• More common in adults, with varying prevalence based on demographics.

ICD-10 Code D13.1 for Benign neoplasm of stomach – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code D13.1 is used in SOAP notes to document the patient's symptoms, assessment findings, and treatment plans. This code aids in capturing the clinical picture of benign neoplasms, facilitating both acute and chronic care management.

What Does ICD-10 Code D13.1 for Benign neoplasm of stomach Mean in SOAP Notes?

ICD-10 Code D13.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a benign neoplasm in the stomach. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D13.1 – Benign neoplasm of stomach

Management of benign neoplasms of the stomach may require surgical intervention or monitoring, depending on the size and symptoms associated with the tumor.

Antibiotic Therapy:

Supportive Care:

• Pain management with analgesics as needed.
• Nutritional support if there are dietary restrictions.
• Regular monitoring for changes in symptoms or tumor size.

Infection Control:

How to Document Symptoms of Benign neoplasm of stomach (ICD-10 D13.1) in SOAP Notes

Subjective:

• Patient reports intermittent abdominal pain.
• Complaints of nausea after meals.
• History of weight loss over the past few months.
• No significant changes in bowel habits.

Objective:

• Abdominal tenderness noted on palpation.
• No palpable masses detected during examination.
• Vital signs stable with no signs of acute distress.
• Imaging shows a well-defined mass in the gastric region.

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SOAP Note Guidelines for Diagnosing Benign neoplasm of stomach (ICD-10 Code D13.1)

Assessment:

• Diagnosis: Benign neoplasm of stomach, moderate severity.
• ICD-10 Code: D13.1.
• Contributing factors: Possible dietary influences and genetic predisposition.
• Monitor for potential complications such as obstruction.

Plan:

• Consider surgical consultation for potential resection.
• Educate patient on dietary modifications to manage symptoms.
• Schedule follow-up imaging to monitor tumor size.
• Provide referral for nutritional counseling.

Treatment & Plan Section for ICD-10 Code D13.1 – Benign neoplasm of stomach

• Surgical intervention may be indicated for symptomatic tumors.
• Regular follow-up appointments to monitor for changes.
• Patient education on recognizing symptoms of complications.
• Nutritional support and dietary modifications as needed.

Using ICD-10 Code D13.1 for Benign neoplasm of stomach in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use D13.1 in appropriate clinical settings to support billing.
• Align treatment plans with clinical guidelines for justified billing.
• Document any related procedures or consultations clearly.

Related ICD-10 Codes Often Used with Benign neoplasm of stomach

• D13.0 – Benign neoplasm of esophagus
• D13.2 – Benign neoplasm of small intestine
• D13.4 – Benign neoplasm of rectum

ICD-10 Code D13.1 in Medical Billing and Insurance for Benign neoplasm of stomach

ICD-10 Code D13.1 is crucial for accurate billing in hospital, ER, or outpatient settings, ensuring proper reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use D13.1 in conjunction with procedure codes for surgical interventions.
• Ensure compliance with payer-specific guidelines for coding.
• Maintain clear records of patient interactions and treatment plans.

Common CPT Pairings: