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ICD-10 Code D48.111 | Desmoid tumor of chest wall Symptoms, Diagnosis, Billing

Desmoid tumors of the chest wall are benign fibrous neoplasms that arise from connective tissue. They are characterized by local invasiveness and can cause significant morbidity due to their location. Accurate coding with ICD-10 Code D48.111 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 D48.111 for Desmoid tumor of chest wall?

ICD-10 Code D48.111 specifically identifies a desmoid tumor located in the chest wall. These tumors are non-cancerous but can be aggressive in their local behavior. This code should be used in clinical documentation and billing when a patient is diagnosed with a desmoid tumor in this anatomical region, facilitating accurate treatment planning and reimbursement.

ICD-10 Code D48.111 – Clinical Definition and Explanation of Desmoid tumor of chest wall

Desmoid tumors of the chest wall are rare, fibrous tumors that arise from the musculoaponeurotic structures. They are often associated with trauma or surgical scars and can exhibit a slow but progressive growth pattern. Medical attention is necessary due to their potential for local invasion and recurrence.

Key Clinical Features:

  • Typically presents as a palpable mass in the chest wall.
  • May cause pain or discomfort depending on size and location.
  • Can be associated with familial adenomatous polyposis (FAP).
  • Imaging studies may show a well-defined mass with infiltrative borders.

ICD-10 Code D48.111 for Desmoid tumor of chest wall – SOAP Notes & Clinical Use

ICD-10 Code D48.111 is utilized in SOAP notes to document the presence of a desmoid tumor in the chest wall. It plays a crucial role in capturing patient symptoms, clinical assessments, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code D48.111 for Desmoid tumor of chest wall Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D48.111 connects subjective reports of symptoms and objective clinical findings to a formal diagnosis of a desmoid tumor in the chest wall. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D48.111 – Desmoid tumor of chest wall

Management of desmoid tumors often requires a multidisciplinary approach, including surgical intervention and monitoring.

Antibiotic Therapy:

    Supportive Care:

    • Pain management with NSAIDs or opioids as needed.
    • Physical therapy to maintain mobility and function.
    • Regular follow-up imaging to monitor tumor growth.

    Infection Control:

      How to Document Symptoms of Desmoid tumor of chest wall (ICD-10 D48.111) in SOAP Notes

      Subjective:

      • Patient reports a palpable mass in the left chest wall.
      • Experiences intermittent pain localized to the tumor site.
      • No history of trauma or recent surgery in the area.
      • Denies any respiratory symptoms or systemic illness.

      Objective:

      • Physical examination reveals a firm, non-mobile mass.
      • No signs of erythema or overlying skin changes.
      • Chest auscultation is clear bilaterally.
      • Imaging shows a well-circumscribed mass in the chest wall.
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      SOAP Note Guidelines for Diagnosing Desmoid tumor of chest wall (ICD-10 Code D48.111)

      Assessment:

      • Desmoid tumor of chest wall, benign but locally aggressive.
      • ICD-10 Code D48.111.
      • No known triggers; consider genetic predisposition.

      Plan:

      • Refer to surgical oncology for evaluation of resection.
      • Educate patient on the nature of the tumor and treatment options.
      • Schedule follow-up imaging in 6 months to monitor growth.
      • Consider pain management strategies as needed.

      Treatment & Plan Section for ICD-10 Code D48.111 – Desmoid tumor of chest wall

      • Surgical excision is the primary treatment for symptomatic tumors.
      • Consideration of non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
      • Monitoring through imaging studies to assess for recurrence.
      • Patient education on the benign nature but potential for local recurrence.

      Using ICD-10 Code D48.111 for Desmoid tumor of chest wall in Billing & SOAP Note Compliance

      • Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
      • Use D48.111 when a desmoid tumor is confirmed through imaging or biopsy.
      • Align treatment plans with clinical guidelines to support billing.
      • Include relevant CPT codes for surgical procedures or consultations.

      ICD-10 Code D48.111 in Medical Billing and Insurance for Desmoid tumor of chest wall

      ICD-10 Code D48.111 is critical for accurate billing in hospital, ER, or outpatient settings.

      Billing Notes:

      • Document all clinical findings and treatment plans clearly to support claims.
      • Use D48.111 in conjunction with relevant CPT codes for surgical interventions.
      • Ensure that the diagnosis is clearly linked to the patient's presenting symptoms.

      Common CPT Pairings:

      CPT CodeDescription
      19301Mastectomy, partial (e.g., lumpectomy)
      19302Mastectomy, total
      99203Office or other outpatient visit for evaluation and management, new patient
      99213Office or other outpatient visit for evaluation and management, established patient

      Frequently Asked Questions

      Common Questions About Using ICD-10 Code D48.111 for Desmoid tumor of chest wall

      What are the common symptoms of a desmoid tumor?

      Common symptoms include a palpable mass in the chest wall, localized pain, and discomfort. Some patients may also experience swelling or changes in the surrounding tissue.

      Is a desmoid tumor cancerous?

      Desmoid tumors are classified as benign; however, they can be locally aggressive and may invade surrounding tissues, necessitating careful monitoring and management.

      How is a desmoid tumor diagnosed?

      Diagnosis typically involves imaging studies such as MRI or CT scans, followed by a biopsy to confirm the histological characteristics of the tumor.

      What treatment options are available for desmoid tumors?

      Treatment options may include surgical excision, observation, and in some cases, medication to manage symptoms or slow tumor growth. Multidisciplinary care is often recommended.

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