ICD-10 Code D48.112 | Desmoid tumor, intrathoracic Symptoms, Diagnosis, Billing

Desmoid tumors, also known as aggressive fibromatosis, are benign but locally aggressive tumors that arise from connective tissue. Intrathoracic desmoid tumors can occur in the chest cavity and may cause respiratory symptoms or complications. Accurate coding with ICD-10 Code D48.112 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 D48.112 for Desmoid tumor, intrathoracic?

ICD-10 Code D48.112 specifically identifies a desmoid tumor located in the intrathoracic region. These tumors are characterized by their fibrous tissue composition and can be associated with underlying conditions such as familial adenomatous polyposis. This code should be used in clinical documentation and billing when a patient presents with a confirmed diagnosis of an intrathoracic desmoid tumor.

ICD-10 Code D48.112 – Clinical Definition and Explanation of Desmoid tumor, intrathoracic

Desmoid tumors in the intrathoracic region are rare, non-metastatic tumors that can arise from the chest wall or mediastinum. They are often associated with trauma or surgical history and can lead to significant morbidity due to their invasive nature. Medical attention is required to monitor growth and manage symptoms effectively.

Key Clinical Features:

• Localized chest pain or discomfort
• Respiratory symptoms such as dyspnea
• Palpable mass in the thoracic cavity
• Potential for local recurrence after surgical removal

ICD-10 Code D48.112 for Desmoid tumor, intrathoracic – SOAP Notes & Clinical Use

ICD-10 Code D48.112 is utilized in SOAP notes to document the presence of a desmoid tumor in the intrathoracic region. It aids in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D48.112 for Desmoid tumor, intrathoracic Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D48.112 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of an intrathoracic desmoid tumor. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D48.112 – Desmoid tumor, intrathoracic

Management of desmoid tumors in the intrathoracic region may require a multidisciplinary approach, including surgical intervention and monitoring. Hospitalization may be necessary for severe cases.

Antibiotic Therapy:

Supportive Care:

• Pain management with analgesics
• Physical therapy to improve mobility
• Regular follow-up imaging to monitor tumor growth

Infection Control:

How to Document Symptoms of Desmoid tumor, intrathoracic (ICD-10 D48.112) in SOAP Notes

Subjective:

• Patient reports persistent chest pain worsening with deep breaths.
• History of previous thoracic surgery.
• No significant weight loss or fever reported.
• Patient expresses concern about a palpable mass in the chest.

Objective:

• Physical examination reveals a firm, non-tender mass in the left thoracic region.
• Chest X-ray shows a well-defined mass in the mediastinum.
• Respiratory rate is within normal limits.
• Oxygen saturation is 98% on room air.

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SOAP Note Guidelines for Diagnosing Desmoid tumor, intrathoracic (ICD-10 Code D48.112)

Assessment:

• Diagnosis: Desmoid tumor, intrathoracic, classified as benign but locally aggressive.
• ICD-10 Code: D48.112.
• Contributing factors include previous thoracic surgery.
• Monitor for potential complications due to tumor growth.

Plan:

• Consider surgical consultation for tumor resection.
• Educate patient on signs of complications.
• Schedule follow-up imaging in 3 months.
• Provide pain management options.

Treatment & Plan Section for ICD-10 Code D48.112 – Desmoid tumor, intrathoracic

• Surgical resection is the primary treatment for symptomatic tumors.
• Consideration of non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
• Regular imaging to monitor for recurrence post-surgery.
• Patient education on symptom management and follow-up care.

Using ICD-10 Code D48.112 for Desmoid tumor, intrathoracic in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D48.112 in settings where desmoid tumors are diagnosed or treated.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes that correspond with the services provided.

Related ICD-10 Codes Often Used with Desmoid tumor, intrathoracic

• C49.9 – Malignant neoplasm of connective and soft tissue, unspecified
• D37.9 – Neoplasm of uncertain behavior of unspecified site
• D48.119 – Desmoid tumor, other site

ICD-10 Code D48.112 in Medical Billing and Insurance for Desmoid tumor, intrathoracic

ICD-10 Code D48.112 is critical for accurate billing in hospital, ER, or outpatient settings where desmoid tumors are diagnosed and treated.

Billing Notes:

• Document all relevant clinical findings and patient history to support the use of D48.112.
• Ensure the code is used in conjunction with appropriate CPT codes for procedures performed.
• Maintain clear records of follow-up care and treatment plans to justify claims.
• Use D48.112 in settings where the diagnosis is confirmed to avoid claim denials.

Common CPT Pairings: