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ICD-10 Code D35.5 | Benign neoplasm of carotid body Symptoms, Diagnosis, Billing

Benign neoplasm of the carotid body is a rare tumor that arises from the chemoreceptor tissue located at the bifurcation of the common carotid artery. These tumors are typically asymptomatic but can cause symptoms due to local mass effects, such as neck swelling or vascular complications. Accurate coding with ICD-10 Code D35.5 is essential for proper diagnosis, documentation, and billing, ensuring appropriate treatment and public health reporting.

What is ICD-10 Code D35.5 for Benign neoplasm of carotid body?

ICD-10 Code D35.5 specifically denotes a benign neoplasm of the carotid body, which is a tumor that originates from the chemoreceptor cells in this region. This code should be used when documenting cases of carotid body tumors, particularly when they are identified during imaging or surgical procedures. Proper use of this code facilitates accurate billing and ensures that the medical necessity of the diagnosis is clearly communicated.

ICD-10 Code D35.5 – Clinical Definition and Explanation of Benign neoplasm of carotid body

Benign neoplasms of the carotid body are typically slow-growing tumors that may not present symptoms until they reach a significant size. They can lead to complications such as carotid artery obstruction or local invasion. Medical evaluation is crucial for diagnosis and management.

Key Clinical Features:

  • Painless neck mass or swelling
  • Possible dysphagia or hoarseness
  • Vascular complications such as carotid artery stenosis
  • Asymptomatic in early stages
  • Incidence is higher in young adults and individuals with familial syndromes

ICD-10 Code D35.5 for Benign neoplasm of carotid body – SOAP Notes & Clinical Use

In clinical workflows, ICD-10 Code D35.5 is utilized in SOAP notes to document the presence of a benign neoplasm of the carotid body. This code aids in capturing patient symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D35.5 for Benign neoplasm of carotid body Mean in SOAP Notes?

ICD-10 Code D35.5 connects subjective patient reports and objective clinical findings to a formal diagnosis of a benign neoplasm of the carotid body. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D35.5 – Benign neoplasm of carotid body

Management of benign neoplasms of the carotid body may require surgical intervention, particularly if symptomatic or causing complications. Hospitalization may be necessary for surgical procedures.

Antibiotic Therapy:

  • Not applicable as this is not an infectious condition

Supportive Care:

  • Monitoring for symptoms and complications
  • Surgical consultation for excision if indicated
  • Pain management as needed

Infection Control:

  • Standard precautions during surgical procedures
  • Post-operative care to prevent infection

How to Document Symptoms of Benign neoplasm of carotid body (ICD-10 D35.5) in SOAP Notes

Subjective:

  • Patient reports a painless neck mass
  • No history of dysphagia or hoarseness
  • No significant weight loss or systemic symptoms
  • Family history of similar tumors

Objective:

  • Neck examination reveals a firm, non-tender mass at the carotid bifurcation
  • No bruit on auscultation
  • Imaging shows a well-defined mass adjacent to the carotid artery
  • Vital signs stable
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SOAP Note Guidelines for Diagnosing Benign neoplasm of carotid body (ICD-10 Code D35.5)

Assessment:

  • Diagnosis: Benign neoplasm of carotid body, asymptomatic
  • ICD-10 Code: D35.5
  • Consideration of surgical intervention due to mass effect
  • No acute complications noted

Plan:

  • Referral to surgery for evaluation and possible excision
  • Patient education on signs of complications
  • Follow-up appointment in 1 month to reassess
  • Imaging studies to monitor tumor growth

Treatment & Plan Section for ICD-10 Code D35.5 – Benign neoplasm of carotid body

  • Surgical excision is the primary treatment for symptomatic tumors
  • Regular monitoring for asymptomatic patients
  • Patient education on potential symptoms of complications
  • Follow-up imaging to assess tumor stability

Using ICD-10 Code D35.5 for Benign neoplasm of carotid body in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and findings in SOAP notes
  • Use D35.5 in conjunction with relevant CPT codes for surgical procedures
  • Maintain compliance with coding guidelines to support billing
  • Document medical necessity clearly to avoid claim denials

ICD-10 Code D35.5 in Medical Billing and Insurance for Benign neoplasm of carotid body

ICD-10 Code D35.5 is crucial for billing purposes, particularly in hospital and surgical settings where benign neoplasms of the carotid body are treated.

Billing Notes:

  • Document the diagnosis clearly in the patient's medical record
  • Use D35.5 in conjunction with procedure codes for surgical interventions
  • Ensure all relevant clinical information is included to support claims
  • Review payer-specific guidelines for coding and billing

Common CPT Pairings:

CPT CodeDescription
38792Surgical excision of carotid body tumor
70450CT scan of the neck for evaluation
99213Office visit for follow-up care

Frequently Asked Questions

Common Questions About Using ICD-10 Code D35.5 for Benign neoplasm of carotid body

What are the common symptoms of a benign neoplasm of the carotid body?

Common symptoms include a painless neck mass, possible dysphagia or hoarseness, and vascular complications. Many patients may remain asymptomatic until the tumor grows significantly.

How is a benign neoplasm of the carotid body diagnosed?

Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with a thorough clinical examination to assess the mass and its effects on surrounding structures.

What is the treatment for a benign neoplasm of the carotid body?

The primary treatment is surgical excision, especially if the tumor is symptomatic or causing complications. Regular monitoring may be appropriate for asymptomatic cases.

Is hospitalization required for benign neoplasm of the carotid body?

Hospitalization may be necessary for surgical intervention, particularly if the tumor is large or symptomatic, requiring careful perioperative management.

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