ICD-10 Code D48.119 | Desmoid tumor of unspecified site Symptoms, Diagnosis, Billing

Desmoid tumors, also known as aggressive fibromatosis, are benign neoplasms that arise from connective tissue and can occur in various anatomical locations. Although they are non-metastatic, their local invasiveness can lead to significant morbidity. Accurate coding with ICD-10 Code D48.119 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 D48.119 for Desmoid tumor of unspecified site?

ICD-10 Code D48.119 represents a desmoid tumor located at an unspecified site. These tumors are characterized by their fibrous tissue composition and can develop in various regions of the body, including the abdomen, limbs, and trunk. This code should be used when the specific location of the tumor is not documented, ensuring accurate clinical documentation and appropriate billing practices.

ICD-10 Code D48.119 – Clinical Definition and Explanation of Desmoid tumor of unspecified site

Desmoid tumors are benign but locally aggressive tumors that can arise from musculoaponeurotic structures. Their etiology is often linked to genetic factors, particularly in patients with familial adenomatous polyposis (FAP). Due to their potential for local invasion and recurrence, medical attention is crucial.

Key Clinical Features:

• Typically presents as a firm, painless mass.
• Can occur in various locations, including the abdominal wall and extremities.
• May be associated with genetic syndromes such as familial adenomatous polyposis.
• Local recurrence is common after surgical excision.

ICD-10 Code D48.119 for Desmoid tumor of unspecified site – SOAP Notes & Clinical Use

ICD-10 Code D48.119 is utilized in SOAP notes to document the presence of a desmoid tumor when the specific site is not identified. This code aids in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code D48.119 for Desmoid tumor of unspecified site Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D48.119 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of a desmoid tumor. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code D48.119 – Desmoid tumor of unspecified site

Management of desmoid tumors may require a multidisciplinary approach, including surgical intervention and medical therapy. Hospitalization may be necessary for surgical cases or complications.

Antibiotic Therapy:

• Not applicable as desmoid tumors are not infectious.

Supportive Care:

• Pain management with NSAIDs or opioids as needed.
• Physical therapy to maintain function and mobility.
• Regular monitoring for tumor growth or recurrence.

Infection Control:

• Standard precautions during surgical procedures.
• Monitoring for signs of infection post-operatively.

How to Document Symptoms of Desmoid tumor of unspecified site (ICD-10 D48.119) in SOAP Notes

Subjective:

• Patient reports a painless mass in the abdominal region.
• No history of trauma or recent surgery.
• Denies weight loss or systemic symptoms.
• Family history of familial adenomatous polyposis.

Objective:

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

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 unspecified site (ICD-10 Code D48.119)

Assessment:

• Desmoid tumor of unspecified site, benign but locally aggressive.
• ICD-10 Code D48.119.
• Consideration of genetic predisposition due to family history.

Plan:

• Refer to surgical oncology for evaluation and possible excision.
• Discuss potential for recurrence and need for follow-up imaging.
• Educate patient on signs of complications or recurrence.
• Schedule follow-up appointment in 3 months.

Treatment & Plan Section for ICD-10 Code D48.119 – Desmoid tumor of unspecified site

• Surgical excision is the primary treatment for localized tumors.
• Consideration of medical therapy with non-steroidal anti-inflammatory drugs (NSAIDs) or hormonal therapy.
• Regular follow-up with imaging to monitor for recurrence.
• Patient education on the nature of the tumor and management options.

Using ICD-10 Code D48.119 for Desmoid tumor of unspecified site in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
• Use D48.119 when the specific site of the desmoid tumor is not documented.
• Align treatment plans with clinical guidelines to support justified billing.
• Include relevant CPT codes for surgical procedures or consultations.

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

• C49.9 – Malignant neoplasm of connective and soft tissue, unspecified

ICD-10 Code D48.119 in Medical Billing and Insurance for Desmoid tumor of unspecified site

ICD-10 Code D48.119 is critical in medical billing, particularly in hospital and surgical settings.

Billing Notes:

• Document the patient's history and physical examination findings thoroughly.
• Use D48.119 in cases where the tumor site is not specified to avoid claim denials.
• Ensure all relevant clinical information is included in the medical record to support the claim.
• Review payer-specific guidelines for coding and billing practices.

Common CPT Pairings: