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K11.9
ICD-10-CM
Mass in Parotid Gland

Find comprehensive information on parotid gland mass diagnosis, including clinical findings, differential diagnosis, ICD-10 codes (D11.0, D48.8), SNOMED CT concepts, and healthcare documentation best practices. Learn about imaging studies, biopsy procedures, and treatment options for parotid tumors, including pleomorphic adenoma and Warthin tumor. This resource offers valuable insights for physicians, healthcare professionals, and medical coders seeking accurate and up-to-date information on parotid gland masses.

Also known as

Parotid Tumor
Parotid Neoplasm

Diagnosis Snapshot

Key Facts
  • Definition : Abnormal growth within the parotid salivary gland. Can be benign or malignant.
  • Clinical Signs : Swelling or lump in front of or below the ear, pain, facial numbness or weakness.
  • Common Settings : Primary care, ENT clinic, head and neck surgery clinic.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC K11.9 Coding
D11.0-D11.9

Benign neoplasm of parotid gland

Non-cancerous growths in the salivary gland near the ear.

C07

Malignant neoplasm of parotid gland

Cancerous growths affecting the main salivary gland.

D48.6

Neoplasm of uncertain behavior of parotid

Abnormal growths in the parotid gland, uncertain if cancerous.

R59.1

Localized swelling, mass, or lump NEC

Describes swelling or a lump, not otherwise specified, which could include a parotid mass.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the mass neoplastic?

  • Yes

    Is it malignant?

  • No

    Is it inflammatory?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Parotid mass
Pleomorphic adenoma
Warthin tumor

Documentation Best Practices

Documentation Checklist
  • Document laterality (left/right/bilateral)
  • Describe mass characteristics (size, shape, mobility)
  • Include patient symptoms (pain, swelling, facial weakness)
  • Document imaging results (ultrasound, CT, MRI)
  • Note FNAC or biopsy results if performed

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding lacks laterality (right, left, bilateral) impacting reimbursement and quality metrics. Clarify with provider for accurate coding (ICD-10-CM).

  • Unconfirmed Diagnosis

    Documentation lacks confirmation (biopsy, imaging) for definitive diagnosis. CDI should query for clarity to avoid inaccurate coding and potential denials.

  • Missing Histology

    If mass is neoplastic, missing histology code impacts cancer registry data and treatment planning. CDI should query provider for specific details.

Mitigation Tips

Best Practices
  • ICD-10 D11.0, C07: Precise parotid mass coding.
  • SNOMED CT: Detailed documentation for accurate CDI.
  • Imaging, FNA biopsy: Compliant healthcare justification.
  • Multidisciplinary review: Optimize treatment, minimize risk.
  • Timely follow-up: Enhanced patient care and compliance.

Clinical Decision Support

Checklist
  • Confirm laterality (left/right) and location within parotid gland.
  • Document size, consistency, mobility, and tenderness.
  • Evaluate cranial nerves VII, IX, X, XI, and XII function.
  • Order imaging (ultrasound, CT, or MRI) as indicated.
  • Consider fine needle aspiration biopsy for diagnosis.

Reimbursement and Quality Metrics

Impact Summary
  • Mass in Parotid Gland reimbursement hinges on accurate ICD-10-CM coding (D11.0-D11.9) and CPT coding for procedures like parotidectomy or biopsy.
  • Quality metrics impacted: Timely diagnosis, surgical complications, pain management, and patient-reported outcomes after parotid surgery.
  • Coding accuracy crucial for appropriate DRG assignment and maximizing reimbursement for parotid mass treatment.
  • Hospital reporting of parotid mass cases affects quality scores and resource allocation for head and neck oncology services.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code laterality (right/left/bilateral)
  • Document mass size & characteristics
  • Specify pre/post-op diagnosis
  • Consider fine needle aspiration biopsy codes
  • Link to imaging results for clarity

Documentation Templates

Patient presents with a palpable mass in the parotid gland.  Chief complaint includes  parotid swelling, parotid lump, or facial mass.  Location of the mass is noted as being in the superficial or deep lobe of the parotid gland, with size and consistency documented.  Associated symptoms may include pain, facial weakness, facial numbness, dysphagia, or trismus.  Differential diagnosis includes pleomorphic adenoma, Warthin tumor, parotid malignancy, benign lymphoepithelial lesion, and sialolithiasis.  Physical examination reveals a (description of mass: firm, mobile, fixed, tender, non-tender, etc.) mass in the (right or left) parotid region.  Cranial nerve VII function is assessed and documented.  Imaging studies, such as ultrasound, CT scan, or MRI of the parotid gland, may be ordered to further evaluate the mass.  Fine needle aspiration biopsy (FNAB) or core needle biopsy may be performed for pathological diagnosis.  Treatment options, including surgical resection (parotidectomy superficial, total, or radical), observation, or further investigation, will be discussed with the patient based on the biopsy results and clinical findings.  Patient education regarding parotid gland anatomy, parotid surgery risks and benefits, and potential complications such as Frey syndrome, facial nerve paralysis, and salivary fistula, will be provided.  Follow-up appointment is scheduled for (timeframe) to review biopsy results and discuss the treatment plan.  ICD-10 code D11.0 (Benign neoplasm of parotid gland) or appropriate malignancy code will be assigned pending diagnostic confirmation. CPT codes for procedures performed, such as FNAB or imaging studies, will be documented accordingly.
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