ICD-10 Code D35.01 | Benign neoplasm of right adrenal gland Symptoms, Diagnosis, Billing

Benign neoplasm of the right adrenal gland is a non-cancerous tumor that arises from the adrenal tissue. These neoplasms can lead to hormonal imbalances and may cause symptoms such as hypertension or metabolic changes. Accurate coding with ICD-10 Code D35.01 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code D35.01 for Benign neoplasm of right adrenal gland?

ICD-10 Code D35.01 specifically identifies a benign neoplasm located in the right adrenal gland. This condition may be asymptomatic or present with symptoms related to hormone overproduction. The code should be used in clinical documentation when a patient is diagnosed with this neoplasm, ensuring accurate billing and facilitating appropriate treatment plans.

ICD-10 Code D35.01 – Clinical Definition and Explanation of Benign neoplasm of right adrenal gland

Benign neoplasms of the right adrenal gland can arise from various cell types, including cortical and medullary cells. These tumors may remain asymptomatic or lead to significant clinical manifestations, necessitating medical evaluation and intervention. Prompt diagnosis is crucial to prevent complications associated with hormonal dysregulation.

Key Clinical Features:

• Asymptomatic in many cases, discovered incidentally during imaging.
• Potential for hormone secretion leading to symptoms like hypertension.
• May cause abdominal pain or discomfort if large.
• Typically slow-growing and non-invasive.

ICD-10 Code D35.01 for Benign neoplasm of right adrenal gland – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code D35.01 is utilized to document the presence of a benign neoplasm in the right adrenal gland. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D35.01 for Benign neoplasm of right adrenal gland Mean in SOAP Notes?

ICD-10 Code D35.01 connects subjective patient reports and objective clinical findings to a formal diagnosis of a benign neoplasm in the right adrenal gland. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D35.01 – Benign neoplasm of right adrenal gland

Management of benign neoplasms of the right adrenal gland may require surgical intervention or monitoring, depending on symptoms and hormonal activity.

Antibiotic Therapy:

Supportive Care:

• Regular monitoring of hormone levels.
• Symptomatic treatment for hypertension or other related symptoms.
• Patient education on signs of complications.

Infection Control:

How to Document Symptoms of Benign neoplasm of right adrenal gland (ICD-10 D35.01) in SOAP Notes

Subjective:

• Patient reports intermittent abdominal discomfort.
• No significant weight changes noted.
• Family history of endocrine disorders.
• Patient denies any recent infections or fever.

Objective:

• Vital signs: BP 140/90 mmHg, HR 78 bpm.
• Abdominal examination reveals mild tenderness in the right upper quadrant.
• Imaging shows a mass in the right adrenal gland.
• Hormonal assays indicate elevated cortisol levels.

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SOAP Note Guidelines for Diagnosing Benign neoplasm of right adrenal gland (ICD-10 Code D35.01)

Assessment:

• Diagnosis: Benign neoplasm of right adrenal gland, asymptomatic.
• ICD-10 Code: D35.01.
• Contributing factors: Possible hormonal imbalance.
• No acute complications noted.

Plan:

• Consider surgical evaluation for mass removal.
• Monitor hormone levels regularly.
• Educate patient on potential symptoms of hormonal excess.
• Schedule follow-up in 3 months.

Treatment & Plan Section for ICD-10 Code D35.01 – Benign neoplasm of right adrenal gland

• Surgical intervention may be indicated if the neoplasm is symptomatic or hormonally active.
• Regular follow-up appointments to monitor for changes in size or symptoms.
• Patient education on lifestyle modifications to manage blood pressure.
• Endocrinology referral for hormonal evaluation.

Using ICD-10 Code D35.01 for Benign neoplasm of right adrenal gland in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D35.01 when a benign adrenal neoplasm is confirmed through imaging or biopsy.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes for any surgical procedures performed.

Related ICD-10 Codes Often Used with Benign neoplasm of right adrenal gland

• D35.02 – Benign neoplasm of left adrenal gland

ICD-10 Code D35.01 in Medical Billing and Insurance for Benign neoplasm of right adrenal gland

ICD-10 Code D35.01 is crucial for accurate billing in hospital, ER, or outpatient settings when managing benign neoplasms of the adrenal gland.

Billing Notes:

• Document all relevant clinical findings and patient history to support the diagnosis.
• Use D35.01 in conjunction with other codes for comprehensive billing.
• Ensure that the treatment plan aligns with the diagnosis for insurance claims.
• Include any surgical procedures performed under appropriate CPT codes.

Common CPT Pairings: