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D35.02
ICD-10-CM
Left Adrenal Adenoma

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

Benign Neoplasm of Left Adrenal Gland

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D35.02 Coding
E27.1

Hyperaldosteronism

Overproduction of aldosterone by adrenal glands.

D35.0

Benign neoplasm of adrenal gland

Non-cancerous growth in the adrenal gland.

E34.0

Cushing's syndrome

Disorder caused by prolonged exposure to high cortisol levels.

E27.8

Other adrenal disorders

Includes various adrenal gland conditions not classified elsewhere.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Benign adrenal tumor
Adrenocortical carcinoma
Pheochromocytoma

Documentation Best Practices

Documentation Checklist
  • ICD-10 code D35.0: Left adrenal adenoma documentation
  • Imaging evidence (CT/MRI/US) describing adenoma
  • Size and location of adenoma specified in report
  • Hormonal evaluation results (if performed)
  • Signs/symptoms related to adenoma if present

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding left adrenal adenoma without specifying laterality can lead to claim rejections. Use D35.02 for accurate coding.

  • Adenoma vs. Hyperplasia

    Miscoding adrenal hyperplasia (E27.1) as adenoma (D35.02) impacts reimbursement and quality metrics. Proper documentation is key.

  • Incidental vs. Functional

    Distinguishing between incidental (non-functioning) and functional adenomas is crucial for appropriate coding and care management. Review documentation for hormone levels.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (D35.0) for Left Adrenal Adenoma.
  • Detailed clinical documentation for laterality & size for CDI.
  • Regular follow-up imaging & hormone level monitoring.
  • Endocrine consult for appropriate management & compliance.
  • Thorough history & physical exam including relevant symptoms.

Clinical Decision Support

Checklist
  • 1. Review imaging: Unilateral adrenal mass? ICD-10: D35.0
  • 2. Hormonal evaluation: Rule out pheochromocytoma/Cushing's. SNOMED: 302876002
  • 3. Size assessment: <4cm suggests adenoma. Document size in cm.
  • 4. Contrast washout: Rapid washout on imaging supports benign adenoma.

Reimbursement and Quality Metrics

Impact Summary
  • Left Adrenal Adenoma reimbursement hinges on accurate ICD-10 (D35.0) and CPT coding for imaging, biopsy, and surgery.
  • Coding quality impacts adrenal adenoma case mix index (CMI) and hospital reimbursement.
  • Accurate documentation of size and hormonal activity (functioning vs. non-functioning) influences payment.
  • Adrenal adenoma reporting affects quality metrics related to imaging appropriateness and surgical outcomes.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code D35.0 for confirmed adenoma
  • Laterality: Code C94.1 for left
  • Document size, imaging findings
  • Exclude hyperplasia: rule out E27.1
  • Consider function: code excess hormones

Documentation Templates

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.