ICD-10 Code D48.117 | Desmoid tumor of back Symptoms, Diagnosis, Billing

Desmoid tumors, also known as aggressive fibromatosis, are benign but locally aggressive tumors that arise from connective tissue. The desmoid tumor of the back can cause pain and discomfort, and its clinical significance lies in its potential for local invasion and recurrence. Accurate coding with ICD-10 Code D48.117 is essential for proper diagnosis, documentation, medical billing, and public health reporting.

What is ICD-10 Code D48.117 for Desmoid tumor of back?

ICD-10 Code D48.117 specifically identifies a desmoid tumor located on the back. This benign neoplasm is characterized by its infiltrative growth pattern and can occur sporadically or in association with familial adenomatous polyposis (FAP). This code should be used in clinical documentation and billing when a patient is diagnosed with a desmoid tumor in the back region.

ICD-10 Code D48.117 – Clinical Definition and Explanation of Desmoid tumor of back

Desmoid tumors of the back are rare, benign tumors that arise from the fibrous tissue and can be associated with significant morbidity due to their aggressive local behavior. They may develop following trauma or surgery and require careful monitoring and management due to their potential for recurrence.

Key Clinical Features:

• Typically presents as a firm, painless mass on the back.
• May cause local pain or discomfort depending on size and location.
• Can be associated with familial adenomatous polyposis (FAP).
• Histologically characterized by spindle-shaped fibroblasts.

ICD-10 Code D48.117 for Desmoid tumor of back – SOAP Notes & Clinical Use

ICD-10 Code D48.117 is utilized in SOAP notes to document the presence of a desmoid tumor of the back. It plays a crucial role 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 D48.117 for Desmoid tumor of back Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D48.117 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a desmoid tumor of the back. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code D48.117 – Desmoid tumor of back

Management of desmoid tumors of the back may involve surgical intervention, observation, or pharmacological therapy depending on the tumor's size, location, and symptoms.

Antibiotic Therapy:

Supportive Care:

• Pain management with NSAIDs or analgesics.
• Physical therapy to maintain mobility and function.
• Regular follow-up for monitoring tumor growth.

Infection Control:

How to Document Symptoms of Desmoid tumor of back (ICD-10 D48.117) in SOAP Notes

Subjective:

• Patient reports a firm mass on the back that has been present for several months.
• Experiences intermittent pain localized to the area of the tumor.
• No history of trauma or surgery in the area prior to tumor development.

Objective:

• Physical examination reveals a palpable, non-tender mass on the back.
• No signs of inflammation or infection noted.
• Imaging studies (e.g., MRI) confirm the presence of a desmoid tumor.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Desmoid tumor of back (ICD-10 Code D48.117)

Assessment:

• Diagnosis: Desmoid tumor of back, benign but locally aggressive.
• ICD-10 Code: D48.117.
• Contributing factors: Possible association with prior trauma.

Plan:

• Consider surgical excision if symptomatic or rapidly growing.
• Discuss observation versus intervention with the patient.
• Schedule follow-up imaging to monitor tumor size.

Treatment & Plan Section for ICD-10 Code D48.117 – Desmoid tumor of back

• Surgical excision is the primary treatment for symptomatic desmoid tumors.
• Observation may be appropriate for asymptomatic tumors.
• Consider pharmacologic options such as hormonal therapy or non-steroidal anti-inflammatory drugs (NSAIDs).
• Regular follow-up appointments to monitor for recurrence.

Using ICD-10 Code D48.117 for Desmoid tumor of back in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in the Subjective and Objective sections.
• Use D48.117 in conjunction with relevant CPT codes for surgical procedures or imaging studies.
• Maintain compliance with coding guidelines to support justified billing.
• Document treatment plans that align with clinical guidelines.

Related ICD-10 Codes Often Used with Desmoid tumor of back

• C49.9 – Malignant neoplasm of connective and soft tissue, unspecified
• D37.9 – Neoplasm of uncertain behavior of unspecified site

ICD-10 Code D48.117 in Medical Billing and Insurance for Desmoid tumor of back

ICD-10 Code D48.117 is critical for accurate billing in hospital, ER, or outpatient settings when managing desmoid tumors of the back.

Billing Notes:

• Document all relevant clinical findings and treatment plans to support the use of D48.117.
• Ensure that the code is used in the appropriate clinical context to avoid claim denials.
• Include detailed notes on the patient's history and any associated conditions.

Common CPT Pairings: