ICD-10 Code D3A.026 | Benign carcinoid tumor of the rectum Symptoms, Diagnosis, Billing

Benign carcinoid tumor of the rectum is a neuroendocrine tumor that arises from enterochromaffin cells in the rectal mucosa. These tumors are typically slow-growing and may be asymptomatic or present with rectal bleeding, obstruction, or changes in bowel habits. Accurate coding with ICD-10 Code D3A.026 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can track incidence and manage treatment effectively.

What is ICD-10 Code D3A.026 for Benign carcinoid tumor of the rectum?

ICD-10 Code D3A.026 specifically identifies benign carcinoid tumors located in the rectum. These tumors are part of the neuroendocrine tumor family and can lead to complications if not monitored. This code should be used in clinical documentation and billing when a patient is diagnosed with this specific tumor, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.

ICD-10 Code D3A.026 – Clinical Definition and Explanation of Benign carcinoid tumor of the rectum

Benign carcinoid tumors of the rectum are rare neuroendocrine tumors that can arise from the rectal mucosa. They are generally slow-growing and may not present symptoms until they reach a significant size. Medical attention is necessary to monitor for potential complications, including obstruction or metastasis.

Key Clinical Features:

• Typically asymptomatic in early stages.
• May present with rectal bleeding or obstruction.
• Slow-growing nature with potential for late diagnosis.
• More common in individuals aged 50-70 years.
• Can be associated with other neuroendocrine tumors.

ICD-10 Code D3A.026 for Benign carcinoid tumor of the rectum – SOAP Notes & Clinical Use

ICD-10 Code D3A.026 is utilized in SOAP notes to document the presence of a benign carcinoid tumor of the rectum. 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 D3A.026 for Benign carcinoid tumor of the rectum Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D3A.026 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a benign carcinoid tumor of the rectum. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D3A.026 – Benign carcinoid tumor of the rectum

Management of benign carcinoid tumors of the rectum may require surgical intervention, especially if symptomatic. Regular monitoring is essential to assess for any changes in tumor behavior.

Antibiotic Therapy:

• Not applicable as this is not an infectious condition.

Supportive Care:

• Symptom management for rectal bleeding or obstruction.
• Regular follow-up imaging to monitor tumor size.
• Nutritional support if bowel function is impaired.

Infection Control:

• Standard precautions during any surgical intervention.

How to Document Symptoms of Benign carcinoid tumor of the rectum (ICD-10 D3A.026) in SOAP Notes

Subjective:

• Patient reports intermittent rectal bleeding.
• Complaints of changes in bowel habits.
• History of abdominal discomfort.
• No significant weight loss reported.

Objective:

• Rectal examination reveals a mass.
• Imaging shows a well-defined tumor in the rectum.
• No signs of metastasis on imaging.
• Vital signs stable.

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SOAP Note Guidelines for Diagnosing Benign carcinoid tumor of the rectum (ICD-10 Code D3A.026)

Assessment:

• Diagnosis: Benign carcinoid tumor of the rectum, confirmed by imaging.
• Severity: Low risk for metastasis based on current imaging.
• Contributing factors: Age and gender predisposition.

Plan:

• Refer for surgical evaluation for tumor resection.
• Schedule follow-up imaging in 6 months.
• Educate patient on symptoms to monitor post-surgery.

Treatment & Plan Section for ICD-10 Code D3A.026 – Benign carcinoid tumor of the rectum

• Surgical resection is the primary treatment option.
• Regular follow-up with imaging to monitor tumor growth.
• Patient education on recognizing symptoms of complications.
• Nutritional support as needed for bowel function.

Using ICD-10 Code D3A.026 for Benign carcinoid tumor of the rectum in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings in SOAP notes.
• Use the code in settings where the diagnosis is confirmed.
• Align treatment plans with clinical guidelines to support billing.
• Document any relevant comorbidities or complications.

Related ICD-10 Codes Often Used with Benign carcinoid tumor of the rectum

• D3A.025 – Benign carcinoid tumor of the appendix
• D3A.029 – Benign carcinoid tumor of other sites

ICD-10 Code D3A.026 in Medical Billing and Insurance for Benign carcinoid tumor of the rectum

ICD-10 Code D3A.026 is crucial for billing purposes, particularly in hospital and surgical settings.

Billing Notes:

• Document all relevant patient history and findings to support the diagnosis.
• Use the code in conjunction with surgical CPT codes for reimbursement.
• Ensure that the diagnosis is clearly linked to the treatment provided.

Common CPT Pairings: