ICD-10 Code D37.2 | Neoplasm of uncertain behavior of small intestine Symptoms, Diagnosis, Billing

Neoplasm of uncertain behavior of small intestine refers to abnormal growths in the small intestine that cannot be definitively classified as benign or malignant. This condition is clinically significant as it may require further investigation to determine the appropriate management and treatment. Accurate coding with ICD-10 Code D37.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track and manage these cases effectively.

What is ICD-10 Code D37.2 for Neoplasm of uncertain behavior of small intestine?

ICD-10 Code D37.2 represents a neoplasm of uncertain behavior located in the small intestine. This code is used when the nature of the neoplasm cannot be clearly determined, necessitating further evaluation. It is important for clinical documentation and billing to accurately reflect the uncertainty of the neoplasm's behavior, guiding appropriate management and treatment decisions.

ICD-10 Code D37.2 – Clinical Definition and Explanation of Neoplasm of uncertain behavior of small intestine

Neoplasm of uncertain behavior of small intestine is characterized by abnormal tissue growth that does not fit the criteria for benign or malignant tumors. The etiology may include genetic factors, environmental influences, or chronic inflammation. This condition requires careful monitoring and potential intervention due to the risk of progression.

Key Clinical Features:

• May present with nonspecific gastrointestinal symptoms such as abdominal pain or obstruction.
• Requires imaging studies for evaluation, such as CT scans or endoscopy.
• Potential for progression to malignancy necessitates close follow-up.
• Epidemiologically, it is rare but can occur in various age groups.

ICD-10 Code D37.2 for Neoplasm of uncertain behavior of small intestine – SOAP Notes & Clinical Use

ICD-10 Code D37.2 is utilized in SOAP notes to document the presence of a neoplasm of uncertain behavior in the small intestine. It plays a crucial role in capturing patient symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D37.2 for Neoplasm of uncertain behavior of small intestine Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D37.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a neoplasm of uncertain behavior. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D37.2 – Neoplasm of uncertain behavior of small intestine

Management of neoplasm of uncertain behavior of small intestine may require hospitalization for further evaluation and treatment. Depending on the findings, specific treatment approaches may be necessary.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Symptom management including pain relief and nutritional support.
• Regular monitoring for changes in symptoms or progression of the neoplasm.
• Patient education regarding signs of complications.

Infection Control:

• Not applicable as this condition is not infectious.

How to Document Symptoms of Neoplasm of uncertain behavior of small intestine (ICD-10 D37.2) in SOAP Notes

Subjective:

• Patient reports intermittent abdominal pain.
• History of unexplained weight loss over the past month.
• Nausea and occasional vomiting noted.
• No significant changes in bowel habits.

Objective:

• Abdominal tenderness on palpation.
• Imaging shows a mass in the small intestine.
• No signs of acute obstruction on examination.
• Vital signs stable.

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SOAP Note Guidelines for Diagnosing Neoplasm of uncertain behavior of small intestine (ICD-10 Code D37.2)

Assessment:

• Diagnosis: Neoplasm of uncertain behavior of small intestine, moderate severity.
• ICD-10 Code: D37.2.
• Contributing factors: Possible chronic inflammation or genetic predisposition.

Plan:

• Refer for gastroenterology evaluation and possible biopsy.
• Monitor symptoms and schedule follow-up imaging.
• Educate patient on signs of complications and when to seek immediate care.

Treatment & Plan Section for ICD-10 Code D37.2 – Neoplasm of uncertain behavior of small intestine

• Consider surgical intervention if the neoplasm is obstructive or symptomatic.
• Regular follow-up appointments to monitor for changes in behavior.
• Nutritional support and counseling as needed.
• Patient education on potential symptoms of progression.

Using ICD-10 Code D37.2 for Neoplasm of uncertain behavior of small intestine in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings to support the use of D37.2.
• Use this code in settings where the neoplasm is being actively monitored or treated.
• Document any imaging or procedures performed to justify the diagnosis.
• Align treatment plans with clinical guidelines to support justified billing.

Related ICD-10 Codes Often Used with Neoplasm of uncertain behavior of small intestine

• D37.1 – Neoplasm of uncertain behavior of colon
• D37.3 – Neoplasm of uncertain behavior of rectum
• C17.9 – Malignant neoplasm of small intestine, unspecified
• D12.9 – Benign neoplasm of colon, unspecified

ICD-10 Code D37.2 in Medical Billing and Insurance for Neoplasm of uncertain behavior of small intestine

ICD-10 Code D37.2 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.

Billing Notes:

• Document all relevant clinical findings and patient history to support the use of D37.2.
• Use this code in conjunction with any diagnostic imaging or procedures performed.
• Ensure that the clinical rationale for the diagnosis is clearly articulated in the medical record.
• Follow payer-specific guidelines for documentation to avoid claim denials.

Common CPT Pairings: