ICD-10 Code D48.118 | Desmoid tumor of other site Symptoms, Diagnosis, Billing

Desmoid tumors, also known as aggressive fibromatosis, are benign soft tissue tumors that arise from connective tissue. They can occur in various locations in the body, often presenting as painless masses. Although benign, desmoid tumors can be locally aggressive and may cause significant morbidity due to their tendency to infiltrate surrounding tissues. The ICD-10 Code D48.118 is essential for accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and track this condition.

What is ICD-10 Code D48.118 for Desmoid tumor of other site?

ICD-10 Code D48.118 represents a desmoid tumor located at an unspecified site other than the commonly documented locations. These tumors are characterized by their fibrous tissue composition and can arise sporadically or in association with familial adenomatous polyposis (FAP). This code should be used in clinical documentation and billing when a desmoid tumor is diagnosed, ensuring proper categorization and reimbursement for treatment.

ICD-10 Code D48.118 – Clinical Definition and Explanation of Desmoid tumor of other site

Desmoid tumors are benign neoplasms that arise from fibroblasts and are known for their infiltrative growth pattern. They can occur in various anatomical locations and may be associated with genetic syndromes. Due to their potential for local recurrence and impact on surrounding structures, they require careful monitoring and management.

Key Clinical Features:

• Typically presents as a firm, painless mass.
• Can occur in the abdominal wall, extremities, or other soft tissue areas.
• May be associated with familial adenomatous polyposis (FAP).
• Local recurrence is common after surgical excision.

ICD-10 Code D48.118 for Desmoid tumor of other site – SOAP Notes & Clinical Use

ICD-10 Code D48.118 is utilized in SOAP notes to document the presence of a desmoid tumor at an unspecified site. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, facilitating continuity of care in both acute and chronic settings.

What Does ICD-10 Code D48.118 for Desmoid tumor of other site Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D48.118 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a 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 D48.118 – Desmoid tumor of other site

Management of desmoid tumors often requires a multidisciplinary approach, focusing on both surgical and non-surgical options. Hospitalization may be necessary for surgical interventions or complications.

Antibiotic Therapy:

Supportive Care:

• Pain management with analgesics.
• Physical therapy to maintain mobility.
• Regular monitoring for tumor growth or recurrence.

Infection Control:

How to Document Symptoms of Desmoid tumor of other site (ICD-10 D48.118) in SOAP Notes

Subjective:

• Patient reports a painless mass in the abdominal region.
• No history of trauma or recent weight loss.
• Family history of familial adenomatous polyposis (FAP).
• Patient expresses concern about the growth of the mass.

Objective:

• Physical examination reveals a firm, non-tender mass.
• Imaging studies show a well-defined soft tissue mass.
• No signs of lymphadenopathy or distant metastasis.
• Vital signs within normal limits.

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SOAP Note Guidelines for Diagnosing Desmoid tumor of other site (ICD-10 Code D48.118)

Assessment:

• Diagnosis: Desmoid tumor of other site, benign, localized.
• ICD-10 Code: D48.118.
• Contributing factors: Family history of FAP.
• No evidence of malignancy or metastasis.

Plan:

• Consider surgical excision of the tumor.
• Refer to oncology for further evaluation if indicated.
• Schedule follow-up imaging in 6 months to monitor for recurrence.
• Educate the patient on signs of recurrence and when to seek care.

Treatment & Plan Section for ICD-10 Code D48.118 – Desmoid tumor of other site

• Surgical excision is the primary treatment for localized tumors.
• Consider non-steroidal anti-inflammatory drugs (NSAIDs) for pain management.
• Monitor for tumor recurrence with regular follow-up imaging.
• Educate the patient on lifestyle modifications to reduce recurrence risk.

Using ICD-10 Code D48.118 for Desmoid tumor of other site in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use the code in conjunction with relevant CPT codes for surgical procedures.
• Document the rationale for treatment decisions to support billing.
• Maintain compliance with coding guidelines to avoid claim denials.

Related ICD-10 Codes Often Used with Desmoid tumor of other site

• D48.119 – Desmoid tumor, unspecified site
• C49.9 – Malignant neoplasm of connective and soft tissue, unspecified

ICD-10 Code D48.118 in Medical Billing and Insurance for Desmoid tumor of other site

ICD-10 Code D48.118 is critical in medical billing, particularly in hospital and outpatient settings, to ensure accurate reimbursement for services rendered.

Billing Notes:

• Document all relevant clinical findings to support the use of this code.
• Use the code in conjunction with appropriate CPT codes for surgical interventions.
• Ensure that the patient's history and family history are clearly noted in the medical record.
• Review coding guidelines regularly to maintain compliance.

Common CPT Pairings: