ICD-10 Code D35.2 | Benign neoplasm of pituitary gland Symptoms, Diagnosis, Billing

Benign neoplasm of the pituitary gland is a non-cancerous tumor that arises from the pituitary gland, which is responsible for hormone production and regulation. These neoplasms can lead to hormonal imbalances and various clinical symptoms, making accurate diagnosis and documentation essential. The ICD-10 Code D35.2 facilitates precise coding for billing, clinical decision-making, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code D35.2 for Benign neoplasm of pituitary gland?

ICD-10 Code D35.2 represents a benign neoplasm of the pituitary gland, which can disrupt normal hormonal function and lead to various clinical manifestations. This code should be used in clinical documentation when a patient is diagnosed with a pituitary tumor that is confirmed to be benign, ensuring accurate billing and continuity of care.

ICD-10 Code D35.2 – Clinical Definition and Explanation of Benign neoplasm of pituitary gland

Benign neoplasms of the pituitary gland, such as adenomas, are typically slow-growing tumors that can affect hormone secretion and lead to various symptoms. These tumors require medical evaluation and management due to their potential impact on endocrine function and overall health.

Key Clinical Features:

• Hormonal imbalances leading to symptoms such as headaches, vision changes, or menstrual irregularities.
• Typically slow-growing and may remain asymptomatic for long periods.
• Commonly diagnosed through imaging studies like MRI or CT scans.
• May require surgical intervention or medical management depending on size and symptoms.

ICD-10 Code D35.2 for Benign neoplasm of pituitary gland – SOAP Notes & Clinical Use

ICD-10 Code D35.2 is utilized in SOAP notes to document the presence of a benign pituitary neoplasm, aiding in the assessment of symptoms, treatment plans, and follow-up care. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.

What Does ICD-10 Code D35.2 for Benign neoplasm of pituitary gland Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D35.2 connects subjective patient reports and objective clinical findings to a formal diagnosis of a benign pituitary neoplasm. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D35.2 – Benign neoplasm of pituitary gland

Management of benign neoplasms of the pituitary gland may require hospitalization for surgical intervention or monitoring. Treatment approaches depend on the tumor's size and associated symptoms.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Regular monitoring of hormone levels and symptoms.
• Patient education on potential symptoms and complications.
• Referral to endocrinology for hormonal management.

Infection Control:

• Not applicable as this condition is not infectious.

How to Document Symptoms of Benign neoplasm of pituitary gland (ICD-10 D35.2) in SOAP Notes

Subjective:

• Patient reports persistent headaches.
• Patient experiences visual disturbances.
• Menstrual irregularities noted by the patient.

Objective:

• MRI shows a well-defined pituitary mass.
• Endocrine evaluation reveals elevated prolactin levels.
• Visual field testing indicates bitemporal hemianopsia.

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SOAP Note Guidelines for Diagnosing Benign neoplasm of pituitary gland (ICD-10 Code D35.2)

Assessment:

• Diagnosis: Benign neoplasm of pituitary gland (D35.2).
• Severity: Moderate, based on size and symptoms.
• Contributing factors: Hormonal imbalance and pressure effects on surrounding structures.

Plan:

• Consider referral for surgical evaluation.
• Monitor hormone levels and symptoms regularly.
• Educate patient on potential symptoms and follow-up care.

Treatment & Plan Section for ICD-10 Code D35.2 – Benign neoplasm of pituitary gland

• Surgical resection may be indicated for symptomatic tumors.
• Hormonal therapy may be necessary to manage endocrine dysfunction.
• Regular follow-up imaging to monitor tumor growth.
• Patient education on signs of complications.

Using ICD-10 Code D35.2 for Benign neoplasm of pituitary gland in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
• Use D35.2 for billing when a benign pituitary neoplasm is diagnosed and documented.
• Align treatment plans with clinical guidelines to support justified billing.

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

• D35.1 – Benign neoplasm of other endocrine glands

ICD-10 Code D35.2 in Medical Billing and Insurance for Benign neoplasm of pituitary gland

ICD-10 Code D35.2 is crucial for billing in hospital, ER, or outpatient settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings and patient history to support the diagnosis.
• Use D35.2 in conjunction with procedure codes for surgical interventions.
• Ensure compliance with payer guidelines for documentation and coding.

Common CPT Pairings: