ICD-10 Code D33.4 | Benign neoplasm of spinal cord Symptoms, Diagnosis, Billing

Benign neoplasms of the spinal cord, classified under ICD-10 code D33.4, are non-cancerous tumors that can arise from various tissues within the spinal cord. These tumors may cause neurological symptoms due to compression of spinal structures. Accurate coding with D33.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources.

What is ICD-10 Code D33.4 for Benign neoplasm of spinal cord?

ICD-10 Code D33.4 specifically denotes a benign neoplasm of the spinal cord. This condition involves non-malignant tumors that can lead to symptoms such as pain, weakness, or sensory changes due to their location. The code should be utilized in clinical documentation and billing when a patient is diagnosed with this condition, ensuring accurate representation of the patient's health status.

ICD-10 Code D33.4 – Clinical Definition and Explanation of Benign neoplasm of spinal cord

Benign neoplasms of the spinal cord can arise from various cell types, including glial cells and nerve sheath cells. These tumors may grow slowly and can lead to significant neurological deficits if they compress surrounding structures. Medical attention is crucial to manage symptoms and prevent complications.

Key Clinical Features:

• Localized pain in the back or neck
• Neurological deficits such as weakness or numbness
• Symptoms may worsen with activity or position changes
• Potential for progressive neurological impairment

ICD-10 Code D33.4 for Benign neoplasm of spinal cord – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D33.4 is used to document the presence of a benign spinal cord neoplasm, aiding in the assessment of symptoms, diagnostic findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code D33.4 for Benign neoplasm of spinal cord Mean in SOAP Notes?

ICD-10 Code D33.4 connects subjective patient reports and objective clinical findings to a formal diagnosis of a benign spinal cord neoplasm. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D33.4 – Benign neoplasm of spinal cord

Management of benign neoplasms of the spinal cord may require surgical intervention or monitoring, depending on the tumor's size and symptoms. Prompt treatment is necessary to alleviate symptoms and prevent complications.

Antibiotic Therapy:

Supportive Care:

• Pain management with analgesics
• Physical therapy to improve mobility
• Regular monitoring for symptom progression
• Patient education on activity modifications

Infection Control:

How to Document Symptoms of Benign neoplasm of spinal cord (ICD-10 D33.4) in SOAP Notes

Subjective:

• Patient reports persistent back pain
• Complaints of numbness in the legs
• History of weakness in the arms
• Symptoms aggravated by prolonged sitting

Objective:

• Neurological examination reveals decreased reflexes
• MRI shows a mass in the spinal cord
• Vital signs stable
• No signs of acute distress

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SOAP Note Guidelines for Diagnosing Benign neoplasm of spinal cord (ICD-10 Code D33.4)

Assessment:

• Diagnosis: Benign neoplasm of spinal cord, moderate severity
• ICD-10 Code: D33.4
• Contributing factors: Tumor size and location
• Symptoms consistent with spinal cord compression

Plan:

• Consider referral for neurosurgical evaluation
• Initiate pain management regimen
• Schedule follow-up MRI in 3 months
• Educate patient on signs of worsening symptoms

Treatment & Plan Section for ICD-10 Code D33.4 – Benign neoplasm of spinal cord

• Surgical resection if indicated
• Regular follow-up imaging to monitor tumor growth
• Physical therapy for rehabilitation
• Patient education on symptom management

Using ICD-10 Code D33.4 for Benign neoplasm of spinal cord in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings
• Use D33.4 in conjunction with relevant procedure codes
• Maintain compliance with coding guidelines for billing
• Document treatment plans that align with clinical guidelines

Related ICD-10 Codes Often Used with Benign neoplasm of spinal cord

• D33.0 – Benign neoplasm of brain, unspecified
• D33.1 – Benign neoplasm of meninges
• D33.2 – Benign neoplasm of cranial nerves
• D33.3 – Benign neoplasm of other parts of central nervous system

ICD-10 Code D33.4 in Medical Billing and Insurance for Benign neoplasm of spinal cord

ICD-10 Code D33.4 is critical in medical billing, particularly in hospital and outpatient settings, to ensure accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and treatments
• Use D33.4 in appropriate clinical contexts for accurate billing
• Ensure compliance with payer-specific guidelines
• Include detailed notes on patient interactions and treatment plans

Common CPT Pairings: