ICD-10 Code D35.02 | Benign neoplasm of left adrenal gland Symptoms, Diagnosis, Billing

Benign neoplasm of the left adrenal gland refers to a non-cancerous tumor that arises from the adrenal tissue on the left side. These neoplasms can lead to hormonal imbalances and may cause symptoms such as hypertension or metabolic changes. Accurate coding with ICD-10 Code D35.02 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 D35.02 for Benign neoplasm of left adrenal gland?

ICD-10 Code D35.02 represents a benign neoplasm located in the left adrenal gland. This condition may be asymptomatic or present with hormonal effects, necessitating clinical evaluation. The code is used in clinical documentation and billing when a patient is diagnosed with this specific neoplasm, ensuring accurate representation of the patient's health status and facilitating appropriate treatment and reimbursement.

ICD-10 Code D35.02 – Clinical Definition and Explanation of Benign neoplasm of left adrenal gland

Benign neoplasms of the left adrenal gland can arise from various cell types, including cortical and medullary cells. These tumors may be hormonally active or inactive, leading to a range of clinical manifestations. Medical attention is required to monitor potential complications and manage symptoms effectively.

Key Clinical Features:

• May be asymptomatic or cause symptoms related to hormone secretion
• Can lead to hypertension or metabolic disturbances
• Typically diagnosed via imaging studies such as CT or MRI
• Requires monitoring for potential growth or complications

ICD-10 Code D35.02 for Benign neoplasm of left adrenal gland – SOAP Notes & Clinical Use

ICD-10 Code D35.02 is utilized in SOAP notes to document the presence of a benign neoplasm in the left adrenal gland. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code D35.02 for Benign neoplasm of left adrenal gland Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D35.02 connects subjective patient reports and objective clinical findings to a formal diagnosis of a benign neoplasm in the left adrenal gland. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D35.02 – Benign neoplasm of left adrenal gland

Management of a benign neoplasm of the left adrenal gland may require hospitalization if complications arise. Treatment approaches focus on symptom management and monitoring.

Antibiotic Therapy:

• Not applicable as this is not an infectious condition

Supportive Care:

• Regular monitoring of hormone levels
• Management of hypertension if present
• Patient education on symptoms to watch for
• Follow-up imaging to assess tumor growth

Infection Control:

• Not applicable as this is not an infectious condition

How to Document Symptoms of Benign neoplasm of left adrenal gland (ICD-10 D35.02) in SOAP Notes

Subjective:

• Patient reports fatigue and occasional headaches
• No significant weight changes noted
• Denies abdominal pain or changes in appetite
• Family history of endocrine disorders

Objective:

• Blood pressure elevated at 150/95 mmHg
• No palpable abdominal masses on examination
• Hormonal assays pending
• Imaging shows a mass in the left adrenal gland

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SOAP Note Guidelines for Diagnosing Benign neoplasm of left adrenal gland (ICD-10 Code D35.02)

Assessment:

• Diagnosis: Benign neoplasm of left adrenal gland, stable
• ICD-10 Code: D35.02
• Contributing factors: Possible hormonal imbalance
• Monitor for symptoms of adrenal insufficiency or excess

Plan:

• Consider referral to endocrinology for further evaluation
• Monitor blood pressure and hormonal levels regularly
• Educate patient on signs of complications
• Schedule follow-up imaging in 6 months

Treatment & Plan Section for ICD-10 Code D35.02 – Benign neoplasm of left adrenal gland

• Monitor for hormonal changes and adjust treatment as necessary
• Educate on lifestyle modifications to manage blood pressure
• Regular follow-up appointments to assess tumor status
• Consider surgical intervention if symptomatic or growth is noted

Using ICD-10 Code D35.02 for Benign neoplasm of left adrenal gland in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings
• Use D35.02 in conjunction with relevant CPT codes for billing
• Maintain compliance with coding guidelines to support claims
• Document treatment plans that align with clinical guidelines

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

• D35.01 – Benign neoplasm of right adrenal gland

ICD-10 Code D35.02 in Medical Billing and Insurance for Benign neoplasm of left adrenal gland

ICD-10 Code D35.02 is critical in medical billing, particularly in hospital and outpatient settings, to ensure accurate claims processing.

Billing Notes:

• Document all relevant clinical findings and treatment plans
• Use D35.02 in appropriate clinical settings to support claims
• Ensure that all documentation aligns with coding guidelines
• Include detailed notes on patient history and treatment response

Common CPT Pairings: