Find information on Left Adrenal Adenoma including diagnosis, adrenal mass, adrenal incidentaloma, and hormonal evaluation. This resource offers guidance on clinical documentation, medical coding, ICD-10 codes (D35.02), SNOMED CT codes, and healthcare best practices for managing left adrenal adenomas. Learn about imaging studies like CT scan and MRI adrenal, symptoms, treatment options, and adrenalectomy considerations for patients with a left adrenal adenoma.
Also known as
Hyperaldosteronism
Overproduction of aldosterone by adrenal glands.
Benign neoplasm of adrenal gland
Non-cancerous growth in the adrenal gland.
Cushing's syndrome
Disorder caused by prolonged exposure to high cortisol levels.
Other adrenal disorders
Includes various adrenal gland conditions not classified elsewhere.
When to use each related code
| Description |
|---|
| Benign adrenal tumor |
| Adrenocortical carcinoma |
| Pheochromocytoma |
Coding left adrenal adenoma without specifying laterality can lead to claim rejections. Use D35.02 for accurate coding.
Miscoding adrenal hyperplasia (E27.1) as adenoma (D35.02) impacts reimbursement and quality metrics. Proper documentation is key.
Distinguishing between incidental (non-functioning) and functional adenomas is crucial for appropriate coding and care management. Review documentation for hormone levels.
Left adrenal adenoma incidentally discovered on abdominal CT scan performed for evaluation of intermittent left flank pain. The patient reports the pain is dull and aching, non-radiating, and typically resolves spontaneously. No history of hypertension, weight gain, hirsutism, or other symptoms suggestive of adrenal hyperfunction. Review of systems otherwise negative. Physical exam unremarkable with normal blood pressure and no abdominal tenderness or palpable masses. Laboratory evaluation including serum electrolytes, cortisol, aldosterone, and renin levels are within normal limits. Imaging reveals a well-circumscribed, homogenous, non-enhancing left adrenal mass measuring 1.5 cm in diameter, consistent with a benign adrenal adenoma. Differential diagnosis includes adrenal cortical adenoma, non-functioning adenoma, and other adrenal lesions. Given the small size, lack of hormone secretion, and absence of concerning features on imaging, the diagnosis of a non-functioning left adrenal adenoma is favored. Management plan includes continued surveillance with repeat abdominal imaging in 6-12 months to assess for interval growth. Patient education provided regarding the benign nature of the finding and signs and symptoms to monitor, including development of hypertension or other endocrinological manifestations. Follow-up scheduled with endocrinology for further evaluation and management as needed. ICD-10 code D35.02, Left adrenal gland adenoma, is documented for medical billing and coding purposes. This documentation supports medical necessity for the imaging and follow-up care.